National Provider Identifier
Kathleen Ann Sisto, MD
Kathleen Ann Sisto, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Williamson, NY and a listed phone number of (315) 483-3280.
Profile Overview
- NPI
- 1922749225
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 02, 2022
- Last Updated
- August 07, 2025
Practice Location
- 4425 Old Ridge RD
- Williamson, NY 14589-9363
Phone: (315) 483-3280
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1922749225
- Entity Type
- Individual
- Last Name
- Sisto
- First Name
- Kathleen
- Middle Name
- Ann
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 4425 Old Ridge RD
- Practice City
- Williamson
- Practice State
- NY
- Practice ZIP Code
- 14589-9363
- Practice Country
- US
- Practice Phone
- (315) 483-3280
- Enumeration Date
- April 02, 2022
- Last Updated
- August 07, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 07, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)