Healthcare Provider Details

I. General information

NPI: 1366893596
Provider Name (Legal Business Name): ARICA N FERGUSON PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARICA N NAVAIE PA

II. Dates (important events)

Enumeration Date: 06/29/2016
Last Update Date: 06/29/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 CANAL VIEW BLVD SUITE 103
ROCHESTER NY
14623
US

IV. Provider business mailing address

140 CANAL VIEW BLVD SUITE 103
ROCHESTER NY
14623
US

V. Phone/Fax

Practice location:
  • Phone: 585-279-5100
  • Fax: 585-424-1008
Mailing address:
  • Phone: 585-279-5100
  • Fax: 585-424-1008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number19788
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: