National Provider Identifier
John P Delisio, P.A.
John P Delisio, P.A. is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Newark, NY and a listed phone number of (315) 359-2690.
Profile Overview
- NPI
- 1720180540
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- September 02, 2006
- Last Updated
- September 13, 2022
Practice Location
- 1202 Driving Park Ave
- Ste 5
- Newark, NY 14513-1057
Phone: (315) 359-2690
Mailing Address
- 1425 Portland Ave
- Rochester, NY 14621-3001
Specialties
- Surgical Physician Assistant (363AS0400X)
Endpoints
- john.delisio@rochesterregional.org
Direct Messaging Address | Newark, NY 14513
Full Record
- NPI
- 1720180540
- Entity Type
- Individual
- Last Name
- Delisio
- First Name
- John
- Middle Name
- P
- Credential
- P.A.
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4000
- Practice Street Address
- 1202 Driving Park Ave
- Practice Address Line 2
- Ste 5
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1057
- Practice Country
- US
- Practice Phone
- (315) 359-2690
- Enumeration Date
- September 02, 2006
- Last Updated
- September 13, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 13, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 03141320 (NY)