Individual
MISS MAISIE KATHERINE PIPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
110 CRITTENDEN BLVD, ROCHESTER, NY 14620
(585) 275-5830
Mailing address
110 CRITTENDEN BLVD, ROCHESTER, NY 14620
(585) 275-5830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
24157
NY
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
024157
NY
Other
Enumeration date
10/01/2019
Last updated
07/03/2023
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