Dustin John Fanciullo in Rochester - Vascular Surgery
Dustin John Fanciullo - NPI 1013164052
Dustin John Fanciullo is a Vascular Surgery in Rochester, New York. Dustin John Fanciullo practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Dustin John Fanciullo is 1013164052. The last update date is 2020-05-22.
Dustin John Fanciullo's current location address is 1445 Portland Ave, Rochester, New York. You can contact this provider via phone number 5859225550 and fax number 5859220450. The mailing address for Dustin John Fanciullo is 1445 Portland Ave, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dustin John Fanciullo |
|---|---|
| Address | 1445 Portland Ave, Rochester, New York |
| Phone Number | 5859225550 |
| Fax Number | 5859220450 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013164052 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2020-05-22 |
Provider Mailing Address Detail
| Address | 1445 Portland Ave |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146213036 |
| Phone Number | 5859225550 |
| Fax Number | 5859220450 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 252553-1 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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What is the Dustin John Fanciullo's unique identification number?
The Dustin John Fanciullo has been assigned the NPI (National Provider Identifier) Number 1013164052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Dustin John Fanciullo is located?
The Dustin John Fanciullo is situated at the following address: 1445 Portland Ave, Rochester, NY, 146213036.
What is the Dustin John Fanciullo's area of specialization and corresponding taxonomy classification?
The Dustin John Fanciullo's specialty field is Vascular Surgery, and it falls under the taxonomy code 2086S0129X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1013164052 to Dustin John Fanciullo?
The Centers for Medicare & Medicaid Services assigned the 1013164052 to Dustin John Fanciullo on 2008-08-21.
When was the information regarding Dustin John Fanciullo most recently updated?
The details pertaining to the Dustin John Fanciullo, including its address, specialty, and other relevant information, were last refreshed on 2020-05-22.