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.

NPI 1134845522Rochester, NYPhysician Assistant

Source: public NPPES record, last updated October 17, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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)