National Provider Identifier

Brenton Joseph Lariccia, RPA-C

Brenton Joseph Lariccia, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 770-3642.

NPI 1851556013Rochester, NYPhysician Assistant

Profile Overview

NPI
1851556013
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 26, 2008
Last Updated
July 06, 2023

Practice Location

  • 401 Picturesque Dr
  • Rochester, NY 14616-1005

Phone: (585) 770-3642

Specialties

  • Physician Assistant (363A00000X)
  • Surgical Critical Care Physician (2086S0102X)
  • Surgical Physician Assistant (363AS0400X)

Endpoints

  • blariccia2866@direct.urmc.rochester.edu

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

Full Record
NPI
1851556013
Entity Type
Individual
Last Name
Lariccia
First Name
Brenton
Middle Name
Joseph
Name Prefix
Mr.
Credential
RPA-C
Mailing Street Address
401 Picturesque Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14616-1005
Mailing Country
US
Mailing Phone
(585) 770-3642
Practice Street Address
401 Picturesque Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14616-1005
Practice Country
US
Practice Phone
(585) 770-3642
Enumeration Date
July 26, 2008
Last Updated
July 06, 2023
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Surgical Critical Care Physician (2086S0102X), Surgical Physician Assistant (363AS0400X)