National Provider Identifier

Lisa Marie Ricotta, RPA-C

Lisa Marie Ricotta, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Hamburg, NY and a listed phone number of (716) 646-2590.

NPI 1477736932Hamburg, NYPhysician Assistant

Profile Overview

NPI
1477736932
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
December 07, 2007
Last Updated
April 09, 2025

Practice Location

  • 517 Sunset Dr
  • Hamburg, NY 14075-4231

Phone: (716) 646-2590

Mailing Address

  • 100 Buffalo Creek RD
  • Elma, NY 14059-9024

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1477736932
Entity Type
Individual
Last Name
Ricotta
First Name
Lisa
Middle Name
Marie
Credential
RPA-C
Mailing Street Address
100 Buffalo Creek RD
Mailing City
Elma
Mailing State
NY
Mailing ZIP Code
14059-9024
Mailing Country
US
Mailing Phone
(716) 572-2227
Practice Street Address
517 Sunset Dr
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-4231
Practice Country
US
Practice Phone
(716) 646-2590
Enumeration Date
December 07, 2007
Last Updated
April 09, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
April 09, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)