person
Leslie Dirisio, RPA
Medical Physician Assistant in Rochester, New York
NPI 1184640419

Leslie Dirisio is a Medical Physician Assistant based in Rochester, NY and is specialized in Medical. Leslie Dirisio practices in Rochester, NY and has the professional credentials of RPA. The NPI Number for Leslie Dirisio is 1184640419 and holds a License No. 006737 (New York).

The current practice location address for Leslie Dirisio is 1561 Long Pond Rd, Rochester, NY and can be reached out via phone at 585-442-4141 and via fax at 585-442-6259.

Location: 1561 Long Pond Rd, Rochester, NY, 14626-4117
person
Provider Profile Details
NPI Number
1184640419
Provider Name
Leslie Dirisio
Credential
RPA
Provider Entity Type
Individual
Gender
Female
Address
1561 Long Pond Rd, Rochester, NY, 14626-4117
Phone Number
585-442-4141
Fax Number
585-442-6259
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02507835 05 NY
institution
Provider Business Practice Location Address Details
Address
1561 Long Pond Rd
City
State
Zip
14626-4117
Phone Number
585-442-4141
Fax Number
585-442-6259
person
Provider Business Mailing Address Details
Address
1561 Long Pond Rd
City
State
Zip
14626-4117
Phone Number
585-442-4141
Fax Number
585-442-6259
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
006737 (New York)
Definition
Definition to come...
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