Most Relevant Information
Provider Data
| NPI Number: | 1003634437 |
| Provider Name: | ELIZABETH GRACE WYGONIK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
1555 LONG POND RD
ROCHESTER
NY
146264164
Practice Location Phone/Fax
| Phone: | 5857237000 |
| Fax: |
Provider Mailing Location
27 CLOPPER ST
GREENSBURG
PA
156011609
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |