Healthcare Provider Details
I. General information
NPI: 1801292800
Provider Name (Legal Business Name): MIDTOWN EAST MEDICAL SERVICES, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/18/2014
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 FISHERS RD STE 114
PITTSFORD NY
14534-9510
US
IV. Provider business mailing address
6100 SPRINT PKWY STE 200
OVERLAND PARK KS
66211-1196
US
V. Phone/Fax
- Phone: 585-299-1570
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TIFFANY
PULCINO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 585-376-7738