Individual
KATIE ELIZABETH DIMARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2655 RIDGEWAY AVE STE 240, ROCHESTER, NY 14626-4296
(585) 723-7060
(585) 723-7325
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015698
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03524476
—
NY
01
—
12434137
CAQH
NY
Enumeration date
08/08/2012
Last updated
03/26/2026
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