Anthony S Mencucci in Fairport - Orthopedic
Anthony S Mencucci - NPI 1659446441
Anthony S Mencucci is a Orthopedic in Fairport, New York. Anthony S Mencucci practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Anthony S Mencucci is 1659446441. The last update date is 2015-02-24.
Anthony S Mencucci's current location address is 790 Ayrault Rd, Fairport, New York. You can contact this provider via phone number 5854251018 and fax number 5854258955. The mailing address for Anthony S Mencucci is 790 Ayrault Rd, Fairport, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Anthony S Mencucci |
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Address | 790 Ayrault Rd, Fairport, New York |
Phone Number | 5854251018 |
Fax Number | 5854258955 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1659446441 |
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Provider Enumeration Date | 2006-11-21 |
Last Updated Date | 2015-02-24 |
Provider Mailing Address Detail
Address | 790 Ayrault Rd |
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City | Fairport |
State | New York (NY) |
Post Code | 14450 |
Phone Number | 5854251018 |
Fax Number | 5854258955 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
Licence No | 149671 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
103116FT | NY | PREFERRED CARE | |
P010014967 | NY | BLUE CHOICE | |
7344272 | NY | AETNA |
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What is the unique identifier code issued to Anthony S Mencucci by the Centers for Medicare & Medicaid Services?
The Anthony S Mencucci has been assigned the NPI (National Provider Identifier) 1659446441. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Anthony S Mencucci?
The Anthony S Mencucci is physically situated at 790 Ayrault Rd, in the city of Fairport, state of NY, with the postal code 14450.
What is the area of specialization for Anthony S Mencucci, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Anthony S Mencucci is Orthopedic, and the corresponding taxonomy code that categorizes this area of expertise is 2251X0800X.
On what date did the Anthony S Mencucci receive its 1659446441 assignment from the Centers for Medicare & Medicaid Services?
The Anthony S Mencucci was assigned its 1659446441 by the Centers for Medicare & Medicaid Services on 2006-11-21.
As of what date were the details pertaining to Anthony S Mencucci last refreshed?
The information related to the Anthony S Mencucci, including its address, specialty, and other relevant details, was last updated on 2015-02-24.
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