Individual provider · Type 1 NPI

Katie Pavlisko, P.A.

Medical Physician Assistant · Pittsford, NY

NPI number 1831224575 Active

Practice location

145 Sullys Trl Ste 1
Pittsford, NY 14534-4561

Call (315) 500-7546 Map

Fax (315) 378-4210

Mailing address

5823 Widewaters Pkwy Ste 4
East Syracuse, NY 13057-3081

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X020659 (NY)
Physician Assistant 363A00000XPA17955 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1831224575

Katie Pavlisko, P.A.'s National Provider Identifier is 1831224575, issued on Feb 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittsford, NY. The record was last updated on Oct 14, 2026.