Individual provider · Type 1 NPI

John P. Delisio, P.A.

Surgical Physician Assistant · Newark, NY

NPI number 1720180540 Active

Practice location

1202 Driving Park Ave, Ste 5
Newark, NY 14513-1057

Call (315) 359-2690 Map

Mailing address

1425 Portland Ave
Rochester, NY 14621-3001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X010933 (NY)

Surgical Physician Assistant: Definition to come...

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About NPI 1720180540

John P. Delisio, P.A.'s National Provider Identifier is 1720180540, issued on Sep 2, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Newark, NY. The record was last updated on Sep 13, 2022.