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

Mr. Charles Mark Livingston, PA

Individual provider Physician Assistant · NPI 1174625537

Mr. Charles Mark Livingston, PA is a Physician Assistant in Geneseo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

61 Main St Ste 5
Geneseo, NY 14454-1255
Phone: (585) 243-7620
Fax: (585) 243-1132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 23004586 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 23-004586 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23004586 (NY)

Record details

NPI number1174625537
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedSeptember 5, 2006
Last updated in NPPESSeptember 11, 2025

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