National Provider Identifier

Marisa Ann Lisinski, PA-C

Marisa Ann Lisinski, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 898-3000.

NPI 1528554045Buffalo, NYPhysician Assistant

Profile Overview

NPI
1528554045
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 09, 2018
Last Updated
November 20, 2025

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3098

Phone: (716) 898-3000

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1528554045
Entity Type
Individual
Last Name
Lisinski
First Name
Marisa
Middle Name
Ann
Name Prefix
Mrs.
Credential
PA-C
Provider Other Last Name
Phillips
Provider Other First Name
Marisa
Provider Other Middle Name
Ann
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
462 Grider St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3098
Mailing Country
US
Mailing Phone
(716) 898-3000
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3098
Practice Country
US
Practice Phone
(716) 898-3000
Enumeration Date
July 09, 2018
Last Updated
November 20, 2025
Sex
Female
Sole Proprietor
No
Certification Date
November 20, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)