Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Justin Komisarof, MD

Individual provider Physician Assistant · NPI 1821653502

Justin Komisarof, MD is a Physician Assistant in Rochester, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1000 S Ave
Rochester, NY 14620-2733
Phone: (585) 473-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Elmwood Ave, Rochester, NY 14642-0001 — (585) 275-2873

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 311957 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 311957 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821653502
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 7, 2019
Last updated in NPPESJuly 17, 2023
Certification dateOctober 21, 2022

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