Provider Demographics
NPI:1730294851
Name:LOSITO, PATRICK (RPA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:LOSITO
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 ABBOTT RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220
Mailing Address - Country:US
Mailing Address - Phone:716-821-7714
Mailing Address - Fax:716-821-7718
Practice Address - Street 1:515 ABBOTT RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220
Practice Address - Country:US
Practice Address - Phone:716-821-7714
Practice Address - Fax:716-821-7718
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002425-1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000010164730OtherFIDELIS
NY010549324OtherUNITED HEALTH CARE
NY00027137201OtherUNIVERA HEALTH CARE
NY000570046005OtherBLUE CROSS/ BLUE SHIELD
NY01271503Medicaid
NY9512397OtherINDEPENDENT HEALTH
NY970022305OtherRAILROAD MEDICARE
R53468Medicare UPIN
NY01271503Medicaid