National Provider Identifier

Andrew Ellison, PA

Andrew Ellison, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 232-2980.

NPI 1538745336Rochester, NYMedical Physician Assistant

Source: public NPPES record, last updated September 24, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1538745336
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
March 22, 2021
Last Updated
September 24, 2021

Practice Location

  • 995 Senator Keating Blvd Ste 330
  • Rochester, NY 14618-2779

Phone: (585) 232-2980

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Medical Physician Assistant (363AM0700X)

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Biography

Andrew Ellison is a New York-licensed physician assistant in the Rochester area. A public CMS provider record lists his PA credential and notes practice locations in both Rochester and Geneseo, indicating a regional clinical footprint rather than a single-site listing.

Full Record
NPI
1538745336
Entity Type
Individual
Last Name
Ellison
First Name
Andrew
Credential
PA
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 232-2980
Mailing Fax
(585) 232-6552
Practice Street Address
995 Senator Keating Blvd Ste 330
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-2779
Practice Country
US
Practice Phone
(585) 232-2980
Practice Fax
(585) 232-6552
Enumeration Date
March 22, 2021
Last Updated
September 24, 2021
Sex
Male
Sole Proprietor
No
Certification Date
September 24, 2021
Taxonomies
Medical Physician Assistant (363AM0700X)