Healthcare Provider Details

I. General information

NPI: 1558248203
Provider Name (Legal Business Name): PAIGE MCCABE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 LATTIMORE RD STE G110
ROCHESTER NY
14620-4100
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX MED
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-486-0901
  • Fax:
Mailing address:
  • Phone: 585-486-0901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number357322
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: