Individual
CAISEY NICOLE LIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
(585) 344-7434
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 343-6030
(585) 344-7434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
024443
NY
363AM0700X
Medical Physician Assistant
00000
NY
Other
Enumeration date
10/22/2019
Last updated
11/21/2019
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