National Provider Identifier
Katrina Bucklaew, PA
Katrina Bucklaew, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1881202158
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 22, 2020
- Last Updated
- January 25, 2026
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 922-4000
Specialties
- Medical Physician Assistant (363AM0700X)
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1881202158
- Entity Type
- Individual
- Last Name
- Bucklaew
- First Name
- Katrina
- Credential
- PA
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3011
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- July 22, 2020
- Last Updated
- January 25, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 25, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Surgical Physician Assistant (363AS0400X)