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
Address 790 Ayrault Rd, Fairport, New York
Phone Number 5854251018
Fax Number 5854258955
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1659446441
Provider Enumeration Date 2006-11-21
Last Updated Date 2015-02-24

Provider Mailing Address Detail

Address 790 Ayrault Rd
City Fairport
State New York (NY)
Post Code 14450
Phone Number 5854251018
Fax Number 5854258955

Provider's Primary Taxonomy Detail

Speciality Orthopedic
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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FAQs about Anthony S Mencucci

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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