National Provider Identifier
Marley Jane Wahl
Marley Jane Wahl is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-9080.
Profile Overview
- NPI
- 1861910697
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 31, 2017
- Last Updated
- August 14, 2024
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-9080
Mailing Address
- 689 Gillett RD
- Rochester, NY 14624-1036
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1861910697
- Entity Type
- Individual
- Last Name
- Wahl
- First Name
- Marley
- Middle Name
- Jane
- Mailing Street Address
- 689 Gillett RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-1036
- Mailing Country
- US
- Mailing Phone
- (607) 972-8591
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-9080
- Enumeration Date
- August 31, 2017
- Last Updated
- August 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)