National Provider Identifier

Christina Marie Prokop, RPA-C

Christina Marie Prokop, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-0150.

NPI 1558673186Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1558673186
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 12, 2010
Last Updated
November 13, 2016

Practice Location

  • 30 Hagen Dr Ste 300
  • Rochester, NY 14625-2658

Phone: (585) 922-0150

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1558673186
Entity Type
Individual
Last Name
Prokop
First Name
Christina
Middle Name
Marie
Name Prefix
MS.
Credential
RPA-C
Provider Other Last Name
Klark
Provider Other First Name
Christina
Provider Other Middle Name
Marie
Provider Other Credential Text
RPA-C
Provider Other Last Name Type Code
1
Mailing Street Address
30 Hagen Dr Ste 300
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2658
Mailing Country
US
Mailing Phone
(585) 922-0150
Practice Street Address
30 Hagen Dr Ste 300
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2658
Practice Country
US
Practice Phone
(585) 922-0150
Enumeration Date
July 12, 2010
Last Updated
November 13, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)