Individual provider · Type 1 NPI

Lucas Polito, PA-C

Medical Physician Assistant · Rochester, NY

NPI number 1124547823 Active

Practice location

1425 Portland Ave # 143
Rochester, NY 14621-3001

Call (585) 922-3458 Map

Fax (585) 266-5363

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 1425 Portland Ave # 220, Rochester, NY 14621-3095 · (585) 922-4371
  • 1724 E Ridge Rd, Rochester, NY 14622-2157 · (585) 467-7007

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X021301 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1124547823

Lucas Polito, PA-C's National Provider Identifier is 1124547823, issued on Sep 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jun 17, 2026.