MARISA HALSTEAD PA NPI 1205305224

NPI Information

NPI: 1205305224
Provider Name: MARISA HALSTEAD, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: WESTERN NEW YORK MEDICAL PRACTICE PC

PECOS Registration: Yes

Address:
1561 LONG POND RD STE 133
ROCHESTER, NY
ZIP 14626
Phone: (585) 723-7670
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Marisa Halstead, PA is a surgical physician assistant in Rochester, NY with 6 years of experience. Marisa Halstead, PA NPI is 1205305224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1561 LONG POND RD STE 133
ROCHESTER, NY
ZIP 14626-136
Phone: (585) 723-7670
Fax: (585) 723-7671

The NPI 1205305224 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2018 and was last updated on 7/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	022886	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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