LESLIE DIRISIO RPA
NPI 1184640419
Physician Assistant - Medical in Rochester, NY

Active since July 13, 2006
1561 LONG POND RD, SUITE 408, ROCHESTER, NY 14626(585) 442-4141(585) 442-6259 Get Directions Write a Review

NPPES record last updated: May 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leslie Dirisio Rpa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE DIRISIO RPA (NPI 1184640419) is an individual medical provider in Rochester, New York, licensed in New York (006737) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184640419
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLESLIE DIRISIOCredential: RPA
Location Address1561 LONG POND RD, SUITE 408Rochester, NY 14626-4117
Mailing Address1561 Long Pond Rd, Suite 408Rochester, NY 14626-4117 · (585) 442-4141 · Fax (585) 442-6259
Fax(585) 442-6259
Sole ProprietorNo
Enumeration DateJuly 13, 2006
Last NPPES UpdateMay 6, 2016
NPI 1184640419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 006737
1561 LONG POND RD, Rochester, NY 14626

Other Identifiers 3

Medicare PINJ400088375/GP 70008ANY
Medicaid02507835NY
Medicare PINJ400088377/GP BA0017NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
1561 LONG POND RD, INTERLAKES ONCOLOGY & HEMATOLOGY PC
ROCHESTER, NY 14626
Internal Medicine (Nephrology)
1561 LONG POND RD, SUITE 302
ROCHESTER, NY 14626
Internal Medicine
1561 LONG POND RD, SUITE 411
ROCHESTER, NY 14626
Internal Medicine (Pulmonary Disease)
1561 LONG POND RD, SUITE 408
ROCHESTER, NY 14626
Nurse Practitioner (Family)
1561 LONG POND RD, SUITE 408
ROCHESTER, NY 14626
Internal Medicine (Pulmonary Disease)
1561 LONG POND RD, SUITE 406
ROCHESTER, NY 14626
Internal Medicine (Nephrology)
1561 LONG POND RD, SUITE 302
ROCHESTER, NY 14626
Family Medicine
1561 LONG POND RD
ROCHESTER, NY 14626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leslie Dirisio's NPI number?

The NPI number for Leslie Dirisio is 1184640419. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Leslie Dirisio located?

Leslie Dirisio practices at 1561 Long Pond Rd Suite 408, Rochester, NY 14626. The listed phone number is (585) 442-4141.

What is Leslie Dirisio's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Leslie Dirisio was last updated on May 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.