National Provider Identifier
Mark Lysiak, PA
Mark Lysiak, PA is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician in Rochester, NY and a listed phone number of (585) 275-5830.
Profile Overview
- NPI
- 1770284317
- Provider Type
- Individual
- Primary Specialty
- Hematology & Oncology Physician
- Enumeration Date
- March 10, 2023
- Last Updated
- September 29, 2025
Practice Location
- 90 Crittenden Blvd
- Rochester, NY 14642-0001
Phone: (585) 275-5830
Mailing Address
- 50 Stonington Dr
- Pittsford, NY 14534-2924
Specialties
- Hematology & Oncology Physician (207RH0003X)
Full Record
- NPI
- 1770284317
- Entity Type
- Individual
- Last Name
- Lysiak
- First Name
- Mark
- Credential
- PA
- Mailing Street Address
- 50 Stonington Dr
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-2924
- Mailing Country
- US
- Practice Street Address
- 90 Crittenden Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5830
- Enumeration Date
- March 10, 2023
- Last Updated
- September 29, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 29, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Hematology & Oncology Physician (207RH0003X)