National Provider Identifier

Madison Hailey Fariello, PA

Madison Hailey Fariello, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-2100.

NPI 1740035088Rochester, NYPhysician Assistant

Profile Overview

NPI
1740035088
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 19, 2024
Last Updated
October 01, 2025

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-2100

Mailing Address

  • 601 Elmwood Ave Box Surg
  • Rochester, NY 14642-8410

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1740035088
Entity Type
Individual
Last Name
Fariello
First Name
Madison
Middle Name
Hailey
Credential
PA
Mailing Street Address
601 Elmwood Ave Box Surg
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8410
Mailing Country
US
Mailing Phone
(585) 275-1000
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-2100
Enumeration Date
April 19, 2024
Last Updated
October 01, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
October 01, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)