Individual
ANNE M MITCHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005464
NY
Other
Enumeration date
10/25/2006
Last updated
12/14/2022
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