National Provider Identifier
Brian Balsamo, PA
Brian Balsamo, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 922-9003.
Profile Overview
- NPI
- 1134845522
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 17, 2022
- Last Updated
- October 17, 2022
Practice Location
- 1425 Portland Avenue Wilson Building
- Rochester, NY 14621-2604
Phone: (585) 922-9003
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1134845522
- Entity Type
- Individual
- Last Name
- Balsamo
- First Name
- Brian
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Practice Street Address
- 1425 Portland Avenue Wilson Building
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2604
- Practice Country
- US
- Practice Phone
- (585) 922-9003
- Practice Fax
- (585) 922-9007
- Enumeration Date
- October 17, 2022
- Last Updated
- October 17, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)