IndividualActive
Donald Dirisi, PA
NPI 1720124316 · Medical Physician Assistant · Biddeford, ME
Provider details
- NPI number
- 1720124316
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 010518 (NY)
Practice location
46 Barra Rd Ste 101
Biddeford, ME 04005-9461
Phone: (207) 282-5509
Fax: (207) 294-3543
Mailing address
46 Barra Rd Ste 101
Biddeford, ME 04005-9461
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.