Most Relevant Information
Provider Data
| NPI Number: | 1003387135 |
| Provider Name: | EDGAR ALLAN BARTOLOME PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/16/2018 |
| Last Updated: | 07/17/2023 |
Provider Practice Location
601 ELMWOOD AVE
ROCHESTER
NY
146422223
Practice Location Phone/Fax
| Phone: | 8089380449 |
| Fax: |
Provider Mailing Location
601 ELMWOOD AVE BOX MED
ROCHESTER
NY
146420001
Provider Mailing Phone/Fax
| Phone: | 5852752877 |
| Fax: |