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John P Delisio, PA
Surgical Physician Assistant in Newark, New York
NPI 1720180540

John P Delisio is a Surgical Physician Assistant based in Rochester, NY and is specialized in Surgical. John P Delisio practices in Newark, NY and has the professional credentials of PA. The NPI Number for John P Delisio is 1720180540 and holds a License No. 010933 (New York).

The current practice location address for John P Delisio is 1202 Driving Park Ave, Newark, NY and can be reached out via phone at 315-359-2690.

Location: 1202 Driving Park Ave, Newark, NY, 14621-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720180540
Provider Name
John P Delisio
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1202 Driving Park Ave, Newark, NY, 14621-3001
Phone Number
315-359-2690
Fax Number
Provider Enumeration Date
09/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03141320 05 NY
institution
Provider Business Practice Location Address Details
Address
1202 Driving Park Ave
City
Newark
State
New York
Zip
14513-1057
Phone Number
315-359-2690
Fax Number
person
Provider Business Mailing Address Details
Address
1202 Driving Park Ave
City
Newark
State
New York
Zip
14513-1057
Phone Number
315-359-2690
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
010933 (New York)
Definition
Definition to come...
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