National Provider Identifier
Mallory Ann Green
Mallory Ann Green is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-8003.
Profile Overview
- NPI
- 1669127239
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- February 13, 2022
- Last Updated
- February 28, 2023
Practice Location
- 222 Alexander St
- Rochester, NY 14607-4039
Phone: (585) 922-8003
Mailing Address
- 222 Alexander St Ste 5000
- Rochester, NY 14607-4064
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1669127239
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Mallory
- Middle Name
- Ann
- Mailing Street Address
- 222 Alexander St Ste 5000
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-4064
- Mailing Country
- US
- Mailing Phone
- (585) 922-8003
- Practice Street Address
- 222 Alexander St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-4039
- Practice Country
- US
- Practice Phone
- (585) 922-8003
- Enumeration Date
- February 13, 2022
- Last Updated
- February 28, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 28, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)