MEDICARE: MICHALENA FELLOWS PA-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	363AM0700X	Medical Physician Assistant
2	363A00000X	Physician Assistant	018419	NY
3	363A00000X	Physician Assistant	18419	NY

General Provider Information

NPI Number	:	1952659104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHALENA FELLOWS PA-C

Provider Business Mailing Address
First Line	:	601 ELMWOOD AVE # 655
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14642-0001
Country	:	US
Telephone Number	:	585-273-4398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 JEFFERSON RD STE 100
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14623-3195
Country	:	US
Telephone Number	:	585-413-1800
Fax Number	:

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

Provider Enumeration Date	:	08/20/2012
Last Update Date	:	06/29/2023

Similar Medicare Providers

1811069354 — DR. JOHN A BACCHETTA D.D.S
Practice Location Address:

1300 JEFFERSON RD STE 300
ROCHESTER, NY
14623-3195

Practice Phone: 585-625-1250
Practice Fax: 585-625-1258

1073011870 — MATTHEW NEIL MASON PA
Practice Location Address:

1300 JEFFERSON RD STE 100
ROCHESTER, NY
14623-3195

Practice Phone: 585-413-1800
Practice Fax: 585-413-3499

1720563000 — KELSEY HAAG PA
Practice Location Address:

1300 JEFFERSON RD STE 100
ROCHESTER, NY
14623-3195

Practice Phone: 585-413-1800
Practice Fax:

1033777636 — MINDY D DOGMANITS DDS
Practice Location Address:

1300 JEFFERSON RD STE 300
ROCHESTER, NY
14623-3195

Practice Phone: 585-625-1250
Practice Fax:

1669068607 — CHRISTINA RUTHERFORD RANIERI PA-C
Practice Location Address:

1300 JEFFERSON RD STE 100
ROCHESTER, NY
14623-3195

Practice Phone: 585-413-1800
Practice Fax:

1396416046 — MICHAEL JOSEPH RIZZO PA
Practice Location Address:

1300 JEFFERSON RD STE 500
ROCHESTER, NY
14623-3195

Practice Phone: 585-413-1800
Practice Fax:

Directions to “ MICHALENA FELLOWS PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.