Brenton Joseph Lariccia in Rochester - Physician Assistant
Brenton Joseph Lariccia - NPI 1851556013
Brenton Joseph Lariccia is a Physician Assistant in Rochester, New York. Brenton Joseph Lariccia practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brenton Joseph Lariccia is 1851556013. The last update date is 2023-07-06.
Brenton Joseph Lariccia's current location address is 401 Picturesque Dr, Rochester, New York. You can contact this provider via phone number 5857703642. The mailing address for Brenton Joseph Lariccia is 401 Picturesque Dr, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenton Joseph Lariccia |
|---|---|
| Address | 401 Picturesque Dr, Rochester, New York |
| Phone Number | 5857703642 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | RPA-C |
NPI Number Detail
| NPI Number | 1851556013 |
|---|---|
| Provider Enumeration Date | 2008-07-26 |
| Last Updated Date | 2023-07-06 |
Provider Mailing Address Detail
| Address | 401 Picturesque Dr |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146161005 |
| Phone Number | 5857703642 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 12642 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Brenton Joseph Lariccia by the Centers for Medicare & Medicaid Services?
The Brenton Joseph Lariccia has been assigned the NPI (National Provider Identifier) 1851556013. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brenton Joseph Lariccia?
The Brenton Joseph Lariccia is situated at 401 Picturesque Dr, in the city of Rochester, state of NY, with the zip code 146161005.
What is the Brenton Joseph Lariccia's specialty and taxonomy code?
The Brenton Joseph Lariccia's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Brenton Joseph Lariccia receive the assignment of its 1851556013 from the Centers for Medicare & Medicaid Services?
The Brenton Joseph Lariccia was issued its 1851556013 by the Centers for Medicare & Medicaid Services on 2008-07-26.
When was the Brenton Joseph Lariccia's information last updated?
The Brenton Joseph Lariccia's information was last updated on 2023-07-06.