National Provider Identifier
Carolyn M Wagner, RPA-C
Carolyn M Wagner, RPA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1679705941
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 19, 2009
- Last Updated
- May 11, 2021
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Surgical Physician Assistant (363AS0400X)
Endpoints
- cwagner25502@direct.rochesterregional.org
Direct Messaging Address | Canandaigua, NY 14424
Full Record
- NPI
- 1679705941
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Carolyn
- Middle Name
- M
- Credential
- RPA-C
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4726
- Mailing Fax
- (585) 266-5363
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- August 19, 2009
- Last Updated
- May 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)