Fallone, Enzo
Fallone, Enzo is an individual health care provider with primary practice located at 1425 Portland Avenue Pathology, Rochester NY 14621. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Fallone, Enzo can be contacted via phone (585) 922-4121.Contact Information
Primary practice address
1425 Portland Avenue Pathology
Rochester NY 14621
Phone: (585) 922-4121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 238815 | New York |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 238815 | New York |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 238815-1 | New York |
Profile Details
| NPI number | 1568583813 |
|---|---|
| LBN Legal business name | Fallone, Enzo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Sep 22nd, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568583813 | NPPES |
| New York | Other | 0165492 | GHI |
| New York | MEDICAID | 02911475 | GHI |
| New York | Other | 7242958 | GHI |
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