National Provider Identifier
Leslie Dirisio, RPA
Leslie Dirisio, RPA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 442-4141.
Profile Overview
- NPI
- 1184640419
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- July 13, 2006
- Last Updated
- May 06, 2016
Practice Location
- 1561 Long Pond RD
- Suite 408
- Rochester, NY 14626-4117
Phone: (585) 442-4141
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1184640419
- Entity Type
- Individual
- Last Name
- Dirisio
- First Name
- Leslie
- Credential
- RPA
- Mailing Street Address
- 1561 Long Pond RD
- Mailing Address Line 2
- Suite 408
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4117
- Mailing Country
- US
- Mailing Phone
- (585) 442-4141
- Mailing Fax
- (585) 442-6259
- Practice Street Address
- 1561 Long Pond RD
- Practice Address Line 2
- Suite 408
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4117
- Practice Country
- US
- Practice Phone
- (585) 442-4141
- Practice Fax
- (585) 442-6259
- Enumeration Date
- July 13, 2006
- Last Updated
- May 06, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 02507835 (NY)