Individual provider · Type 1 NPI

Ethan George Wincowski, PA-C

Medical Physician Assistant · Rochester, NY

NPI number 1528545795 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3001

Call (585) 922-4000 Map

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X022173 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1528545795

Ethan George Wincowski, PA-C's National Provider Identifier is 1528545795, issued on Jul 20, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Apr 28, 2021.