National Provider Identifier

Mira Sirianni

Mira Sirianni is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-6366.

NPI 1124858253Rochester, NYPhysician Assistant

Profile Overview

NPI
1124858253
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 05, 2024
Last Updated
January 06, 2026

Practice Location

  • 601 Elmwood Ave
  • Rochester, NY 14642-0001

Phone: (585) 275-6366

Mailing Address

  • 601 Elmwood Ave
  • Box Surg
  • Rochester, NY 14642-8410

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1124858253
Entity Type
Individual
Last Name
Sirianni
First Name
Mira
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box Surg
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-8410
Mailing Country
US
Practice Street Address
601 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-6366
Enumeration Date
August 05, 2024
Last Updated
January 06, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 06, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)