Individual provider · Type 1 NPI

Laura Converse, PA

Medical Physician Assistant · Penfield, NY

NPI number 1679851604 Active

Practice location

2212 Penfield Rd, Suite 200
Penfield, NY 14526-1756

Call (585) 598-8567 Map

Fax (585) 388-1483

Mailing address

601 Elmwood Ave, Box 278980
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X14960 (NY)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1679851604

Laura Converse, PA's National Provider Identifier is 1679851604, issued on Jul 25, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Penfield, NY. The record was last updated on Mar 21, 2023.