Individual provider · Type 1 NPI

Nicholas George Liotta, PA-C

Medical Physician Assistant · Rochester, NY

NPI number 1053971440 Active

Practice location

1555 Long Pond Rd
Rochester, NY 14626-4122

Call (585) 723-7870 Map

Fax (585) 723-7871

Mailing address

601 Elmwood Ave., Box Med
Rochester, NY 14642-0001

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X23583 (NY)
Medical Physician Assistant Primary 363AM0700X023583 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1053971440

Nicholas George Liotta, PA-C's National Provider Identifier is 1053971440, issued on Jun 18, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jul 17, 2023.