Individual
ALISSA L LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1300 JEFFERSON RD SUITE 100, ROCHESTER, NY 14642-2545
(585) 413-1800
Mailing address
601 ELMWOOD AVE BOX 655, ROCHESTER, NY 14642-8655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031183
NY
363A00000X
Physician Assistant
12475
MN
Other
Enumeration date
06/29/2017
Last updated
01/26/2024
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