Pettit, Mark Alexander
Pettit, Mark Alexander is an individual health care provider with primary practice located at 1425 Portland Avenue , Rochester NY 14621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Pettit, Mark Alexander can be contacted via phone (585) 922-4000.Contact Information
Primary practice address
1425 Portland Avenue
Rochester NY 14621
Phone: (585) 922-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 278798 | New York |
Profile Details
| NPI number | 1487911947 |
|---|---|
| LBN Legal business name | Pettit, Mark Alexander |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2012 |
| Last updated | Aug 23rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487911947 | NPPES |
| New York | MEDICAID | 04239745 |
Popular Providers
-
He, Jie
1160 Chili Ave Ste 200 , Rochester NY 14624-3035 -
Adler, David Henry
601 Elmwood Ave Box 655 University Of Rochester Medical Center, Rochester NY 14642 -
Lou, Valerie
601 Elmwood Ave , Rochester NY 14642-0001 -
Weaver, Aaron
1555 Long Pond Rd , Rochester NY 14626-4122 -
Assaad, Remon
1425 Portland Ave , Rochester NY 14621-3001 -
Nobay, Flavia
601 Elmwood Ave Box 655, Rochester NY 14642-0001 -
Bingemann, Todd L
913 Culver Rd , Rochester NY 14609-7141 -
Bergsma, Lisa
601 Elmwood Ave Box 655, Rochester NY 14642