National Provider Identifier
Marcella Lee Carlson, PA
Marcella Lee Carlson, 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) 338-1200.
Profile Overview
- NPI
- 1679956569
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 09, 2015
- Last Updated
- March 21, 2018
Practice Location
- 1425 Portland Ave
- Rochester Regional Health
- Rochester, NY 14621
Phone: (585) 338-1200
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1679956569
- Entity Type
- Individual
- Last Name
- Carlson
- First Name
- Marcella
- Middle Name
- Lee
- Name Prefix
- Mrs.
- Credential
- PA
- Provider Other Last Name
- Ethington
- Provider Other First Name
- Marcella
- Provider Other Middle Name
- Lee
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1425 Portland Ave
- Mailing Address Line 2
- Rochester Regional Health
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621
- Mailing Country
- US
- Mailing Phone
- (585) 338-1200
- Practice Street Address
- 1425 Portland Ave
- Practice Address Line 2
- Rochester Regional Health
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 338-1200
- Enumeration Date
- July 09, 2015
- Last Updated
- March 21, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 04295236 (NY)