Individual
MICHAEL VINCENT DIVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7000
(585) 723-7280
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
005032
NY
363AM0700X
Medical Physician Assistant
Primary
005032-1
NY
Other
Enumeration date
03/13/2007
Last updated
05/11/2026
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