Individual
MACKENZIE R. PETTINELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1555 LONG POND RD, DEPT. OF MEDICINE, ROCHESTER, NY 14626-4122
(585) 723-7870
(585) 723-7871
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
016626
NY
Other
Enumeration date
07/10/2013
Last updated
01/04/2023
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