Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallory Manning

Individual provider Physician Assistant · NPI 1609246784

Mallory Manning is a Physician Assistant in Rochester, New York. Qualified in 2015, 11 years ago. Practices with Internal Medicine Group, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

601 Elmwood Ave # 619-HMD
Rochester, NY 14642-0001
Phone: (585) 275-6366
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 492-5011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019150 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 19150 (NY)

Record details

NPI number1609246784
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESJuly 3, 2023
Certification dateJanuary 27, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Internal Medicine Group — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rochester