National Provider Identifier
Elizabeth Ann Bacon, P.A.
Elizabeth Ann Bacon, P.A. is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4000.
Profile Overview
- NPI
- 1891806741
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 31, 2006
- Last Updated
- April 23, 2021
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 922-4000
Specialties
- Surgical Physician Assistant (363AS0400X)
Endpoints
- ebacon7325@direct.rochesterregional.org
Direct Messaging Address | Direct | Rochester, NY 14621
Full Record
- NPI
- 1891806741
- Entity Type
- Individual
- Last Name
- Bacon
- First Name
- Elizabeth
- Middle Name
- Ann
- Credential
- P.A.
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4000
- Enumeration Date
- August 31, 2006
- Last Updated
- April 23, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 23, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 03126327 (NY)