National Provider Identifier
Marissa Anna Redmond
Marissa Anna Redmond is listed in the NPPES registry with a primary specialty of Physician Assistant in Avon, NY and a listed phone number of (585) 226-2640.
Profile Overview
- NPI
- 1851024061
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 05, 2022
- Last Updated
- May 06, 2025
Practice Location
- 470 Collins St
- Avon, NY 14414-1466
Phone: (585) 226-2640
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1851024061
- Entity Type
- Individual
- Last Name
- Redmond
- First Name
- Marissa
- Middle Name
- Anna
- Mailing Street Address
- 470 Collins St
- Mailing City
- Avon
- Mailing State
- NY
- Mailing ZIP Code
- 14414-1466
- Mailing Country
- US
- Practice Street Address
- 470 Collins St
- Practice City
- Avon
- Practice State
- NY
- Practice ZIP Code
- 14414-1466
- Practice Country
- US
- Practice Phone
- (585) 226-2640
- Enumeration Date
- July 05, 2022
- Last Updated
- May 06, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)