Dr. Anthony J Fedullo
Pulmonary Disease
1425 Portland Ave
Rochester
, New York 14621-3001
Dr. Anthony J Fedullo
Pulmonary Disease
1425 Portland Ave
Rochester
, New York 14621-3001
(585) 922-4833
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About
Features
Specialties
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Dr. Anthony J Fedullo
- 1425 Portland Ave Box 242
- Rochester, NY
- Zip : 14621-3001
- Fax : (585) 922-4833
- Phone : (585) 922-4409
Second Address
- Dr. Anthony J Fedullo
- 1425 Portland Ave
- Rochester, NY
- Zip : 14621-3001
- Fax : (585) 922-4833
- Phone : (585) 922-4409
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RP1001X | Pulmonary Disease | 126101 | NY |
National Provider Identifier
| NPI | 1013962091 |
|---|---|
| Provider Name | Dr. Anthony J Fedullo |
| First Address | Rochester, NY 14621-3001 |
| Second Address | Rochester, NY 14621-3001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2006 |
| Last Update Date | 11/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00469365 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.