National Provider Identifier
Brianna M Pettinaro, PA
Brianna M Pettinaro, 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.
Profile Overview
- NPI
- 1699290734
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 10, 2017
- Last Updated
- July 21, 2022
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7870
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1699290734
- Entity Type
- Individual
- Last Name
- Pettinaro
- First Name
- Brianna
- Middle Name
- M
- Credential
- PA
- Mailing Street Address
- 1555 Long Pond RD
- 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 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
- August 10, 2017
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 05004779 (NY)