Individual provider · Type 1 NPI

Taylor J. Indivero, PA

Surgical Physician Assistant · Rochester, NY

NPI number 1700136777 Active

Practice location

1415 Portland Ave
Rochester, NY 14621-3038

Fax (585) 922-2951

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1700136777

Taylor J. Indivero, PA's National Provider Identifier is 1700136777, issued on Sep 17, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Rochester, NY. The record was last updated on Mar 4, 2014.