MEDICARE: MARY E ARMOSINO-HODERLEIN P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001611	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00238156	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205805645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY E ARMOSINO-HODERLEIN P.A.

Provider Business Mailing Address
First Line	:	100 KINGS HWY S
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-5504
Country	:	US
Telephone Number	:	585-922-0553
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 ALEXANDER ST
Second Line	:	SUITE 5000
City	:	ROCHESTER
State	:	NY
Zip	:	14607-4039
Country	:	US
Telephone Number	:	585-922-8003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	04/20/2021

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Directions to “ MARY E ARMOSINO-HODERLEIN P.A.” Practice Location

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