MEDICARE: VITO C. QUATELA, MD PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207YS0123X	Facial Plastic Surgery Physician
2	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1013005602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITO C. QUATELA, MD PLLC

Provider Business Mailing Address
First Line	:	973 EAST AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2216
Country	:	US
Telephone Number	:	585-244-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	973 EAST AVE
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14607-2216
Country	:	US
Telephone Number	:	585-244-1000
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MRS. DENISE STINARDO
Credential	:
Telephone Number	:	585-244-1000

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	02/02/2016

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