Healthcare Provider Details

I. General information

NPI: 1891274965
Provider Name (Legal Business Name): KAYLEE MARCOLINI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYLEE ZAFFUTO NP

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2066 HUDSON AVE
ROCHESTER NY
14617-4300
US

IV. Provider business mailing address

127 COOLIDGE RD
ROCHESTER NY
14622-1923
US

V. Phone/Fax

Practice location:
  • Phone: 585-922-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number308800
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: