Fanciullo, Dustin John
Fanciullo, Dustin John is an individual health care provider with primary practice located at 1445 Portland Ave Suite 108, Rochester NY 14621-3036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Fanciullo, Dustin John can be contacted via phone (585) 922-5550.Contact Information
Primary practice address
1445 Portland Ave Suite 108
Rochester NY 14621-3036
Phone: (585) 922-5550
Fax: (585) 922-0450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 252553-1 | New York |
Profile Details
| NPI number | 1013164052 |
|---|---|
| LBN Legal business name | Fanciullo, Dustin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2008 |
| Last updated | May 22nd, 2020 - about 5 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.
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