Individual provider · Type 1 NPI

Mallory Ann Green

Medical Physician Assistant · Rochester, NY

NPI number 1669127239 Active

Practice location

222 Alexander St
Rochester, NY 14607-4039

Call (585) 922-8003 Map

Mailing address

222 Alexander St Ste 5000
Rochester, NY 14607-4064

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X029112 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1669127239

Mallory Ann Green's National Provider Identifier is 1669127239, issued on Feb 13, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Feb 28, 2023.