Provider Demographics
NPI:1699784280
Name:CHARNO, CHRYSA LYNN (PA)
Entity type:Individual
Prefix:MRS
First Name:CHRYSA
Middle Name:LYNN
Last Name:CHARNO
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Gender:F
Credentials:PA
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Mailing Address - Street 1:1050 PITTSFORD VICTOR RD
Mailing Address - Street 2:BLDG B
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3812
Mailing Address - Country:US
Mailing Address - Phone:585-383-4040
Mailing Address - Fax:585-383-4051
Practice Address - Street 1:1050 PITTSFORD VICTOR RD
Practice Address - Street 2:BLDG B
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3812
Practice Address - Country:US
Practice Address - Phone:585-383-4040
Practice Address - Fax:585-383-4051
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2023-07-05
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Provider Licenses
StateLicense IDTaxonomies
NY9900363A00000X
NY009900363AM0700X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPA2127Medicare PIN
NYQ19943Medicare UPIN