Individual provider · Type 1 NPI

Mackenzie R. Pettinella, PA

Medical Physician Assistant · Rochester, NY

NPI number 1003257809 Active

Practice location

1555 Long Pond Rd, Dept. Of Medicine
Rochester, NY 14626-4122

Call (585) 723-7870 Map

Fax (585) 723-7871

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 1415 Portland Ave Ste 350, Rochester, NY 14621-3043 · (585) 442-5320

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X016626 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1003257809

Mackenzie R. Pettinella, PA's National Provider Identifier is 1003257809, issued on Jul 10, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jan 4, 2023.