MEDICARE: LYNNE BATTAGLIA TRIGGS MPAS,RPA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	005932 1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P019005932	OTHER	NY	BCP
2	PA0152	OTHER	NY	PFC

General Provider Information

NPI Number	:	1831137603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNNE BATTAGLIA TRIGGS MPAS,RPA-C

Provider Business Mailing Address
First Line	:	919 WESTFALL RD
Second Line	:	BUILDING A, SUITE 200
City	:	ROCHESTER
State	:	NY
Zip	:	14618-2638
Country	:	US
Telephone Number	:	585-244-4240
Fax Number	:	585-442-4767

Provider Business Practice Location Address
First Line	:	919 WESTFALL RD
Second Line	:	BUILDING A, SUITE 200
City	:	ROCHESTER
State	:	NY
Zip	:	14618-2638
Country	:	US
Telephone Number	:	585-244-4240
Fax Number	:	585-442-4767

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	05/20/2022

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