Dustin J Fanciullo (NPI# 1013164052, PAC ID# 0042488041) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is VASCULAR SURGERY.
| Nation Provider ID (NPI) | 1013164052 |
| PAC ID by PECOS | 0042488041 |
| Professional Enrollment ID | I20110719000037 |
| Full Name | Dustin J Fanciullo |
| Organization Legal Name | ROCHESTER GENERAL HOSPITAL |
| Address |
1425 Portland Ave Rochester NY 14621-3001 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | VASCULAR SURGERY |
| Group Practice PAC ID | 0244149474 |
| Number of Group Practice Members | 754 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330125 | ROCHESTER GENERAL HOSPITAL |
| 330226 | UNITY HOSPITAL |
| 330265 | CLIFTON SPRINGS HOSPITAL AND CLINIC |
| Address | Phone | Organization |
|---|---|---|
| 2 Coulter Rd, Clifton Springs, NY 14432-1122 | WESTERN NEW YORK MEDICAL PRACTICE PC | |
| 4 Coulter Rd, Clifton Springs, NY 14432-1122 | 3159064059 | WESTERN NEW YORK MEDICAL PRACTICE PC |
| 1425 Portland Ave, Rochester, NY 14621-3001 | ROCHESTER GENERAL HOSPITAL | |
| 1425 Portland Ave, Rochester, NY 14621-3001 | 5859223122 | WESTERN NEW YORK MEDICAL PRACTICE PC |
| 1555 Long Pond Rd, Rochester, NY 14626-4122 | THE UNITY HOSPITAL OF ROCHESTER | |
| 1565 Long Pond Rd, Rochester, NY 14626-4122 | 5857237366 | THE UNITY HOSPITAL OF ROCHESTER |
| 158 Orchard St, Rochester, NY 14611-1361 | 5853684500 | THE UNITY HOSPITAL OF ROCHESTER |
| 2655 Ridgeway Ave, Rochester, NY 14626-4296 | THE UNITY HOSPITAL OF ROCHESTER | |
| 30 Hagen Dr, Rochester, NY 14625-2658 | ROCHESTER GENERAL HOSPITAL |
| Organization Legal Name | ROCHESTER GENERAL HOSPITAL |
| Physicians | 852 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chasity Jacquel Myrthil | Nurse Practitioner | Rochester General Hospital | 4425 Old Ridge Rd, Williamson, NY 14589-9363 |
| Steffanie C Newland | Nurse Practitioner | Rochester General Hospital | 1304 Driving Park Ave, Newark, NY 14513-1059 |
| Michael W Quartuccio | Endocrinology | Rochester General Hospital | 12 Leach Rd, Lyons, NY 14489-9732 |
| Nancy Wilcox | Nurse Practitioner | Rochester General Hospital | 1200 Driving Park Ave, Newark, NY 14513-1057 |
| Andrew S Pederzolli | Cardiovascular Disease (cardiology) | Rochester General Hospital | 1415 Portland Ave, Suite 100, Rochester, NY 14621-3038 |
| Lisa N Fronczak | Physician Assistant | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Roksolana Kuchma | Geriatric Medicine | Rochester General Hospital | 2350 Ridgeway Ave, Rochester, NY 14626-4127 |
| Angela F Karnes | Nurse Practitioner | Rochester General Hospital | 1455 E Ridge Rd, Rochester, NY 14621-2006 |
| Pierre M Jean Charles | Family Medicine | Rochester General Hospital | 293 Upper Falls Blvd, Rochester, NY 14605-2184 |
| Alan C Chu | Neurology | Rochester General Hospital | 1208 Driving Park Ave, Newark, NY 14513-1057 |
| Street Address |
1425 PORTLAND AVE |
| City | ROCHESTER |
| State | NY |
| Zip | 14621-3001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa N Fronczak | Physician Assistant | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Ayhan Yoruk | Internal Medicine | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Mackenzie Ryan Pettinella | Physician Assistant | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Arthur David Pellittieri | Internal Medicine | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Anna S Iouchkovskaia | Internal Medicine | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Jeffrey C Haynes | Radiation Oncology | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Keith Garcia Desousa | Neurology | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Maria Stella Dominguez | Emergency Medicine | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Sanjay K Anandaram | Neurology | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Pradeep Parajuli | Internal Medicine | Rochester General Hospital | 1425 Portland Ave, Rochester, NY 14621-3001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ana Molovic-kokovic | Nephrology | Rochester General Hospital | 370 Ridge Rd E, Rochester, NY 14621 |
| Kathleen A Wolfsong | Clinical Social Worker | 522 Long Acre Rd, Rochester, NY 14621-1114 | |
| David L Heffer | Chiropractic | 527 E Ridge Rd, Rochester, NY 14621-1203 | |
| Tina Michelle Di Santo | Clinical Social Worker | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Paul R Wilson | Clinical Social Worker | Behavioral Health Network, Inc | 490 Ridge Rd E, Rochester, NY 14621-1229 |
| Katherine Caldwell Milton | Clinical Social Worker | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Elise House Condor | Nurse Practitioner | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Rebecca Thomas | Clinical Social Worker | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Frances Mccarthy | Nurse Practitioner | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Katherine P Duffy | Psychiatry | Behavioral Health Network Inc | 490 E Ridge Rd, Rochester, NY 14621-1229 |
| Find all physicians in zip 14621 | |||
| City | ROCHESTER |
| Zip Code | 14621 |
| Specialty | VASCULAR SURGERY |
| City + Specialty | ROCHESTER + VASCULAR SURGERY |
Please comment or provide details below to improve the information on Dustin J Fanciullo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.