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

MS. Marisa Rose Mauro, PA

Individual provider Physician Assistant · NPI 1073034237

MS. Marisa Rose Mauro, PA is a Physician Assistant in Rochester, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
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

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 276-1128
Fax: (585) 276-1128
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020859 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 20859 (NY)

Record details

NPI number1073034237
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 28, 2017
Last updated in NPPESJuly 17, 2023
Certification dateDecember 16, 2021

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