National Provider Identifier
Nicholas George Liotta, PA-C
Nicholas George Liotta, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7870.
Profile Overview
- NPI
- 1053971440
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 18, 2019
- Last Updated
- July 17, 2023
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4122
Phone: (585) 723-7870
Mailing Address
- 601 Elmwood Ave.
- Box Med
- Rochester, NY 14642-0001
Specialties
- Medical Physician Assistant (363AM0700X)
- Medical Physician Assistant (363AM0700X)
Endpoints
- nliotta238227@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1053971440
- Entity Type
- Individual
- Last Name
- Liotta
- First Name
- Nicholas
- Middle Name
- George
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Ave.
- Mailing Address Line 2
- Box Med
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-2141
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4122
- Practice Country
- US
- Practice Phone
- (585) 723-7870
- Practice Fax
- (585) 723-7871
- Enumeration Date
- June 18, 2019
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 07, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)