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

Mr. Anthony Francis Colosimo

Individual provider Physician Assistant · NPI 1417224494

Mr. Anthony Francis Colosimo is a Physician Assistant in Syracuse, New York. Qualified in 2011, 15 years ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 448-5111
Fax: (315) 703-5049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015178-1 (NY)

Record details

NPI number1417224494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2011
Last updated in NPPESApril 25, 2013
Mailing address104 Union Ave, Suite 804, Syracuse, NY 13203-1843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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