National Provider Identifier
Howard Revans Jr.
Howard Revans Jr. is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7070.
Profile Overview
- NPI
- 1669173191
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 13, 2023
- Last Updated
- October 26, 2023
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4164
Phone: (585) 723-7070
Mailing Address
- 44 Poppy St
- Rochester, NY 14617-2615
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1669173191
- Entity Type
- Individual
- Last Name
- Revans
- First Name
- Howard
- Name Suffix
- Jr.
- Mailing Street Address
- 44 Poppy St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-2615
- Mailing Country
- US
- Mailing Phone
- (585) 683-8496
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4164
- Practice Country
- US
- Practice Phone
- (585) 723-7070
- Enumeration Date
- March 13, 2023
- Last Updated
- October 26, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 20, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)