National Provider Identifier
Allen Paul Willistein, PA
Allen Paul Willistein, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.
Profile Overview
- NPI
- 1912926387
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- July 18, 2006
- Last Updated
- July 08, 2007
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2733
Phone: (585) 473-2200
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1912926387
- Entity Type
- Individual
- Last Name
- Willistein
- First Name
- Allen
- Middle Name
- Paul
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 1000 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2733
- Mailing Country
- US
- Mailing Phone
- (585) 473-2200
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 473-2200
- Enumeration Date
- July 18, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Surgical Physician Assistant (363AS0400X)