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NPI Code Detail

MEDICARE: CAITLYN M PEARSON PA

MEDICARE: CAITLYN M PEARSON PA
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
1363A00000XPhysician Assistant
2363AS0400XSurgical Physician Assistant29228NY

General Provider Information

NPI Number : 1962157552
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLYN M PEARSON PA
Provider Business Mailing Address
First Line : 350 PARRISH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1731
Country : US
Telephone Number : 585-396-6000
Fax Number :
Provider Business Practice Location Address
First Line : 350 PARRISH ST
Second Line :
City : CANANDAIGUA
State : NY
Zip : 14424-1731
Country : US
Telephone Number : 585-396-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2022
Last Update Date : 04/28/2026

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Directions to “ CAITLYN M PEARSON PA” Practice Location

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