Healthcare Provider Details

I. General information

NPI: 1558397984
Provider Name (Legal Business Name): CHRISTINE TENSLEY RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 02/08/2022
Certification Date: 02/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 LONG POND RD DEPT OF SURGERY
ROCHESTER NY
14626-4122
US

IV. Provider business mailing address

1555 LONG POND RD DEPT OF SURGERY
ROCHESTER NY
14626-4122
US

V. Phone/Fax

Practice location:
  • Phone: 585-723-7281
  • Fax:
Mailing address:
  • Phone: 585-723-7281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number010311
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: