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1225161102
MICHAEL VINCENT DIVITO
ROCHESTER, NY
NPI
1225161102
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 005032-1)
Enumeration Date
2007-03-13
Last Update Date
2022-09-19
Business Address
MICHAEL VINCENT DIVITO RPAC
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4188
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Mailing Address
MICHAEL VINCENT DIVITO RPAC
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-0553
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