Provider Demographics
NPI:1164468872
Name:INZANA, ANTHONY (PA)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:INZANA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:30 ERIE CANAL DRIVE
Mailing Address - Street 2:SUITE G
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626
Mailing Address - Country:US
Mailing Address - Phone:585-227-3950
Mailing Address - Fax:585-227-9047
Practice Address - Street 1:30 ERIE CANAL DRIVE
Practice Address - Street 2:SUITE G
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626
Practice Address - Country:US
Practice Address - Phone:585-227-3950
Practice Address - Fax:585-227-9047
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY005379363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant