National Provider Identifier
Marc L Siditsky, RPA-C
Marc L Siditsky, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 342-2638.
Source: public NPPES record, last updated September 18, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1972521847
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 18, 2006
- Last Updated
- September 18, 2020
Practice Location
- 1445 Portland Avenue
- Ste 309
- Rochester, NY 14621-3008
Phone: (585) 342-2638
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1972521847
- Entity Type
- Individual
- Last Name
- Siditsky
- First Name
- Marc
- Middle Name
- L
- Credential
- RPA-C
- Mailing Street Address
- 1445 Portland Avenue
- Mailing Address Line 2
- Ste 309
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3008
- Mailing Country
- US
- Mailing Phone
- (585) 342-2638
- Mailing Fax
- (585) 730-7500
- Practice Street Address
- 1445 Portland Avenue
- Practice Address Line 2
- Ste 309
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3008
- Practice Country
- US
- Practice Phone
- (585) 342-2638
- Practice Fax
- (585) 730-7500
- Enumeration Date
- July 18, 2006
- Last Updated
- September 18, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 18, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 01272146 (NY)