Individual provider · Type 1 NPI
Marcella Lee Carlson, PA
Medical Physician Assistant · Rochester, NY
NPI number
1679956569
Active
Practice location
1425 Portland Ave, Rochester Regional Health
Rochester, NY 14621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 018715 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1679956569
Marcella Lee Carlson, PA's National Provider Identifier is 1679956569, issued on Jul 9, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Mar 21, 2018.