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Contact Information

MICHAEL B COLICCHIO, RPAC PHYSICIAN ASSIS
1065 SENATOR KEATING BLVD
SUITE 220
ROCHESTER, NY14618
 Phone: 585-271-8860
 Fax: 585-271-9067
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for MICHAEL B COLICCHIO · (Male)

NPI # 1174610950
Status Active
Credentials RPAC PHYSICIAN ASSIS
Entity Individual
Enumeration date 10/05/2006
Last updated 07/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 4538580
  • NY License # 7286
  • NY Medicaid 02650622
Hospital affiliation(s)
  • STRONG MEMORIAL HOSPITAL - (Acute Care)
    601 ELMWOOD AVE
    ROCHESTER, NY 14642
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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