National Provider Identifier
Brian C Riesenberger, PA-C
Brian C Riesenberger, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 275-9555.
Source: public NPPES record, last updated July 06, 2023. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1477883635
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 10, 2010
- Last Updated
- July 06, 2023
Practice Location
- 601 Elmwood Ave
- Box 655
- Rochester, NY 14642-8655
Phone: (585) 275-9555
Specialties
- Physician Assistant (363A00000X)
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Full Record
- NPI
- 1477883635
- Entity Type
- Individual
- Last Name
- Riesenberger
- First Name
- Brian
- Middle Name
- C
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 655
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-8655
- Mailing Country
- US
- Mailing Phone
- (585) 275-9555
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 655
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-8655
- Practice Country
- US
- Practice Phone
- (585) 275-9555
- Enumeration Date
- January 10, 2010
- Last Updated
- July 06, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 03574783 (NY)