Individual provider · Type 1 NPI

Marissa Bukowski

Physician Assistant · Rochester, NY

NPI number 1376480079 Active

Practice location

601 Elmwood Ave
Rochester, NY 14642-0001

Mailing address

6528 Marra Ln
Cicero, NY 13039-7854

Other practice locations

  • 350 Parrish St, Canandaigua, NY 14424-1731 · (585) 396-6000
  • 1000 South Ave, Rochester, NY 14620-2733 · (585) 341-6833

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X035999 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1376480079

Marissa Bukowski's National Provider Identifier is 1376480079, issued on Apr 30, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rochester, NY. The record was last updated on Sep 8, 2026.