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Individual

KATIE PAVLISKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
2250 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2706
(585) 424-6770
(585) 424-6776
Mailing address
2250 BRIGHTON HENRIETTA TOWN LINE RD, ROCHESTER, NY 14623-2706
(585) 424-6770
(585) 424-6776

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA17955
CA
363AM0700X
Medical Physician Assistant
Primary
020659
NY

Other

Enumeration date
02/22/2007
Last updated
12/22/2022
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