Provider Demographics
NPI:1891274965
Name:MARCOLINI, KAYLEE (NP)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:
Last Name:MARCOLINI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAYLEE
Other - Middle Name:
Other - Last Name:ZAFFUTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:127 COOLIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14622-1923
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2066 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-4300
Practice Address - Country:US
Practice Address - Phone:585-922-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health