National Provider Identifier

Carli Ann Kotula, PA

Carli Ann Kotula, 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) 723-7870.

NPI 1659708873Rochester, NYMedical Physician Assistant

Profile Overview

NPI
1659708873
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 02, 2013
Last Updated
June 29, 2023

Practice Location

  • 1555 Long Pond RD
  • Department Of Medicine
  • Rochester, NY 14626-4122

Phone: (585) 723-7870

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Surgical Oncology Physician (2086X0206X)

Endpoints

  • ckotula109579@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

Full Record
NPI
1659708873
Entity Type
Individual
Last Name
Kotula
First Name
Carli
Middle Name
Ann
Credential
PA
Provider Other Last Name
Beachy
Provider Other First Name
Carli
Provider Other Middle Name
Ann
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
1555 Long Pond RD
Mailing Address Line 2
Department Of Medicine
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4122
Mailing Country
US
Mailing Phone
(585) 723-7870
Mailing Fax
(585) 723-7871
Practice Street Address
1555 Long Pond RD
Practice Address Line 2
Department Of Medicine
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4122
Practice Country
US
Practice Phone
(585) 723-7870
Practice Fax
(585) 723-7871
Enumeration Date
October 02, 2013
Last Updated
June 29, 2023
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Surgical Oncology Physician (2086X0206X)