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.
Source: public NPPES record, last updated September 29, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Mark Lysiak, PAC, is a physician assistant with UR Medicine’s cancer program, where he is listed with the University of Rochester Medical Faculty Group. His UR Medicine profile notes national physician assistant certification through the NCCPA and an MPAS from Massachusetts College of Pharmacy and Health Science in 2022.
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)