Philip J. Fraccola in Liverpool - Diagnostic Radiology

Philip J. Fraccola - NPI 1699767707

Philip J. Fraccola is a Diagnostic Radiology in Liverpool, New York. Philip J. Fraccola practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Philip J. Fraccola is 1699767707. The last update date is 2007-09-13.

Philip J. Fraccola's current location address is 5100 W Taft Rd, Liverpool, New York. You can contact this provider via phone number 3154522555 and fax number 3154522559. The mailing address for Philip J. Fraccola is 5100 W Taft Rd, Liverpool, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Philip J. Fraccola
Address 5100 W Taft Rd, Liverpool, New York
Phone Number 3154522555
Fax Number 3154522559
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699767707
Provider Enumeration Date 2005-08-16
Last Updated Date 2007-09-13

Provider Mailing Address Detail

Address 5100 W Taft Rd
City Liverpool
State New York (NY)
Post Code 130883807
Phone Number 3154522555
Fax Number 3154522559

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 173758
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
555440 NY --
1334321 NY --
2224500 NY --
555500 NY --

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FAQs about Philip J. Fraccola

What is the unique 10-digit identifier code issued to Philip J. Fraccola by the Centers for Medicare & Medicaid Services?

The Philip J. Fraccola has been assigned the NPI (National Provider Identifier) 1699767707 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Philip J. Fraccola's facilities are geographically located?

The facilities of Philip J. Fraccola are physically situated at the following location: 5100 W Taft Rd, Liverpool, NY, 130883807.

What is the area of specialization for Philip J. Fraccola, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Philip J. Fraccola is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

On what date did the Philip J. Fraccola receive the assignment of its 1699767707 from the Centers for Medicare & Medicaid Services?

The Philip J. Fraccola was issued its 1699767707 by the Centers for Medicare & Medicaid Services on 2005-08-16.

As of what date were the details related to Philip J. Fraccola most recently updated or revised?

The information pertaining to Philip J. Fraccola, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-13.

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