Joseph J Fantuzzo
Oral and Maxillofacial Surgeon
601 Elmwood Ave Box 705
Rochester
, New York 14642-0001
Joseph J Fantuzzo
Oral and Maxillofacial Surgeon
601 Elmwood Ave Box 705
Rochester
, New York 14642-0001
(585) 276-0293
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Joseph J Fantuzzo
- 601 Elmwood Ave Box 705
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 276-0293
- Phone : (585) 275-5084
Second Address
- Joseph J Fantuzzo
- 601 Elmwood Ave Box 705
- Rochester, NY
- Zip : 14642-0001
- Fax : (585) 276-0293
- Phone : (585) 275-5084
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 043604 | NY |
National Provider Identifier
| NPI | 1073620373 |
|---|---|
| Provider Name | Joseph J Fantuzzo |
| 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 | 23/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02636886 | (05) | NY |
| I26293 | (02) | |
| MDJ123 | PREFERRED CARE (01) |
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.