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

Leslie Dirisio, RPA

Individual provider Medical Physician Assistant · NPI 1184640419

Leslie Dirisio, RPA is a Medical Physician Assistant in Rochester, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

1561 Long Pond Rd Ste 408
Rochester, NY 14626-4117
Phone: (585) 442-4141
Fax: (585) 442-6259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 006737 (NY)

Record details

NPI number1184640419
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA
Sole proprietorNo
NPI enumeratedJuly 13, 2006
Last updated in NPPESMay 6, 2016

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