National Provider Identifier
Carol Diane Fague, RPA-C
Carol Diane Fague, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 341-6880.
Source: public NPPES record, last updated September 26, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1851528798
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 18, 2009
- Last Updated
- September 26, 2011
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2733
Phone: (585) 341-6880
Mailing Address
- 601 Elmwood Ave
- Box 655
- Rochester, NY 14642-8655
Specialties
- Medical Physician Assistant (363AM0700X)
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Full Record
- NPI
- 1851528798
- Entity Type
- Individual
- Last Name
- Fague
- First Name
- Carol
- Middle Name
- Diane
- Name Prefix
- Miss
- Credential
- RPA-C
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 655
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8655
- Mailing Country
- US
- Mailing Phone
- (585) 341-6880
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 341-6880
- Enumeration Date
- June 18, 2009
- Last Updated
- September 26, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)