Individual
ADRIELLE LORI WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, EMT-P
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-0227
(585) 273-1126
Mailing address
601 ELMWOOD AVE BOX MED, ROCHESTER, NY 14642-0001
(585) 275-0227
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
389007
NY
363A00000X
Physician Assistant
Primary
026763
NY
363AM0700X
Medical Physician Assistant
26763
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
389007
NYS PARAMEDIC CERTIFICATION
NY
Enumeration date
07/09/2021
Last updated
07/07/2023
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