Dustin John Fanciullo, M.D. is a vascular surgery surgery in Rochester, NY with 20 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Dustin John Fanciullo, M.D. NPI is 1013164052. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1445 PORTLAND AVE
SUITE 108
ROCHESTER, NY
ZIP 14621-036
Phone: (585) 922-5550
Fax: (585) 922-0450
The NPI 1013164052 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/21/2008 and was last updated on 5/22/2020.