Individual provider · Type 1 NPI
Katrina Bucklaew, PA
Medical Physician Assistant · Rochester, NY
NPI number
1881202158
Active
Practice location
1425 Portland Ave
Rochester, NY 14621-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 025254 (NY) |
| Surgical Physician Assistant | 363AS0400X | 025254 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1881202158
Katrina Bucklaew, PA's National Provider Identifier is 1881202158, issued on Jul 22, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jan 25, 2026.