Healthcare Provider Details

I. General information

NPI: 1003075029
Provider Name (Legal Business Name): DELPHI HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2008
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 CHILI AVE
ROCHESTER NY
14624-3035
US

IV. Provider business mailing address

1160 CHILI AVE STE 200
ROCHESTER NY
14624-3035
US

V. Phone/Fax

Practice location:
  • Phone: 585-330-3374
  • Fax:
Mailing address:
  • Phone: 585-330-3374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ELISSA RISOLO
Title or Position: DIRECTOR OF MEDICAL STAFF
Credential:
Phone: 585-330-3374