Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0102X | Surgical Critical Care | MD460850 | PA |
Y | 2086S0127X | Trauma Surgeon | 298780 | NY |
NPI | 1144546995 |
---|---|
Provider Name | Dr. Michael Antonio Vella |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 09/08/2019 |