Individual
LUCAS POLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1425 PORTLAND AVE # 143, ROCHESTER, NY 14621-3001
(585) 922-3458
(585) 266-5363
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-5462
(585) 922-1011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021301
NY
363AM0700X
Medical Physician Assistant
Primary
021301
NY
Other
Enumeration date
09/13/2017
Last updated
06/17/2026
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