National Provider Identifier
Bethany Fanelli, PA-C
Bethany Fanelli, PA-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) 922-4136.
Profile Overview
- NPI
- 1588702500
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- February 02, 2007
- Last Updated
- September 22, 2022
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4136
Specialties
- Medical Physician Assistant (363AM0700X)
- Surgical Physician Assistant (363AS0400X)
Endpoints
- Bethany.Fanelli@rochesterregional.org
Direct Messaging Address | Rochester, NY 14618
Full Record
- NPI
- 1588702500
- Entity Type
- Individual
- Last Name
- Fanelli
- First Name
- Bethany
- Credential
- PA-C
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4136
- Mailing Fax
- (585) 922-5761
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4136
- Practice Fax
- (585) 922-5761
- Enumeration Date
- February 02, 2007
- Last Updated
- September 22, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Surgical Physician Assistant (363AS0400X)