MICHAEL VINCENT DIVITO

ROCHESTER, NY
NPI1225161102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NY  005032-1)
Enumeration Date2007-03-13
Last Update Date2022-09-19
Business Address
MICHAEL VINCENT DIVITO RPAC
1425 PORTLAND AVE
ROCHESTER, NY 14621-3001
Phone number: 585-922-4188
Mailing Address
MICHAEL VINCENT DIVITO RPAC
100 KINGS HWY S
ROCHESTER, NY 14617-5504
Phone number: 585-922-0553