Healthcare Provider Details

I. General information

NPI: 1326963869
Provider Name (Legal Business Name): CAITLYN CULOTTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 BUFFALO RD STE 200
ROCHESTER NY
14624-1550
US

IV. Provider business mailing address

62 KIRKLEES RD
PITTSFORD NY
14534-1541
US

V. Phone/Fax

Practice location:
  • Phone: 585-420-7402
  • Fax:
Mailing address:
  • Phone: 585-415-3673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: