Healthcare Provider Details

I. General information

NPI: 1144991225
Provider Name (Legal Business Name): MEGHAN SESSLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

1595 CRITTENDEN RD APT 2
ROCHESTER NY
14623-2357
US

V. Phone/Fax

Practice location:
  • Phone: 585-750-1655
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number027338
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: