Whalio Doctors

NPI 1003257809

Mackenzie R. Pettinella, PA

Practitioner Medical Physician Assistant Rochester, NY

Practice location

Address
1555 Long Pond Rd Dept. of Medicine, Rochester, NY 14626-4122
Phone
(585) 723-7870
Fax
(585) 723-7871
Mailing address
100 Kings Hwy S, Rochester, NY 14617-5504

Registered specialties

Medical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 016626 (NY)

Registry record

NPI
1003257809
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2013
Record last updated
4 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.