Individual
MICHAEL L ASSELIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1500 PORTLAND AVE, ROCHESTER, NY 14621-3065
(585) 697-6000
Mailing address
556 CLAYBOURNE RD, ROCHESTER, NY 14618-1226
(585) 259-5628
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
025088
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025088
—
NY
Enumeration date
06/02/2021
Last updated
06/02/2021
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