Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 287645 | NY |
NPI | 1093030553 |
---|---|
Provider Name | Michael W Quartuccio |
First Address | Rochester, NY 14617-5504 |
Second Address | Rochester, NY 14607-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2010 |
Last Update Date | 12/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
04735411 | (05) | NY |