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Contact Information

MARY J RODMAN, PA
77 SULLYS TRAIL
PITTSFORD, NY14534
 Phone: 585-248-5300
 Fax: 585-248-3427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARY J RODMAN · (Female)

NPI Number 1285692087
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 0002661
  • NY Medicaid 00355266
Hospital affiliation(s) Not Available
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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