IndividualActive
Allen Willistein, PA
NPI 1912926387 · Surgical Physician Assistant · Rochester, NY
Provider details
- NPI number
- 1912926387
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 001356-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1000 South Ave
Rochester, NY 14620-2733
Phone: (585) 473-2200
Approximate (ZIP-level) locationGet directions
Mailing address
1000 South Ave
Rochester, NY 14620-2733
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.