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.

NPI 1477883635Rochester, NYPhysician Assistant

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)
  • Physician Assistant (363A00000X)

Endpoints

  • briesenberger3103@direct.urmc.rochester.edu

    Direct Messaging Address | Direct | Other | Rochester, NY 14642

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
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)
Other Identifiers
03574783 (NY)