National Provider Identifier
Magan Reedy Grigg, PA-C
Magan Reedy Grigg, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 368-4050.
Profile Overview
- NPI
- 1891191037
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 17, 2014
- Last Updated
- September 19, 2024
Practice Location
- 105 Canal Landing Blvd Ste 1
- Rochester, NY 14626-5107
Phone: (585) 368-4050
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1891191037
- Entity Type
- Individual
- Last Name
- Grigg
- First Name
- Magan
- Middle Name
- Reedy
- Credential
- PA-C
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 105 Canal Landing Blvd Ste 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-5107
- Practice Country
- US
- Practice Phone
- (585) 368-4050
- Enumeration Date
- November 17, 2014
- Last Updated
- September 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)