Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 128254 | NY |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 128254 | NY |
NPI | 1043256563 |
---|---|
Provider Name | Dr. Vincent Francis Reale |
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 | 22/06/2006 |
Last Update Date | 03/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00463474 | (05) | NY |
B71803 | (02) |