National Provider Identifier

John Anthony Rosengreen, PHYSICIAN ASSISTANT

John Anthony Rosengreen, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 334-5560.

NPI 1700363678Rochester, NYPhysician Assistant

Profile Overview

NPI
1700363678
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 24, 2018
Last Updated
July 24, 2018

Practice Location

  • 400 Red Creek Dr Ste 120
  • Rochester, NY 14623-4273

Phone: (585) 334-5560

Mailing Address

  • 19 Long Wood Dr
  • Rochester, NY 14612-2711

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1700363678
Entity Type
Individual
Last Name
Rosengreen
First Name
John
Middle Name
Anthony
Name Prefix
Mr.
Credential
PHYSICIAN ASSISTANT
Mailing Street Address
19 Long Wood Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-2711
Mailing Country
US
Mailing Phone
(585) 362-5063
Practice Street Address
400 Red Creek Dr Ste 120
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-4273
Practice Country
US
Practice Phone
(585) 334-5560
Enumeration Date
July 24, 2018
Last Updated
July 24, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)