Healthcare Provider Details

I. General information

NPI: 1336102482
Provider Name (Legal Business Name): FRANK A LANGELOTTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 COUNTRY WOODS LN
ROCHESTER NY
14626-4701
US

IV. Provider business mailing address

515 COUNTRY WOODS LN
ROCHESTER NY
14626-4701
US

V. Phone/Fax

Practice location:
  • Phone: 585-225-1400
  • Fax:
Mailing address:
  • Phone: 585-225-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number60-080970
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: