Healthcare Provider Details

I. General information

NPI: 1235174251
Provider Name (Legal Business Name): FRANCISCO A TAUSK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 07/05/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 ELMWOOD AVE
ROCHESTER NY
14642-0001
US

IV. Provider business mailing address

601 ELMWOOD AVE BOX 697
ROCHESTER NY
14642-0001
US

V. Phone/Fax

Practice location:
  • Phone: 585-275-7546
  • Fax: 585-461-3509
Mailing address:
  • Phone: 585-275-7546
  • Fax: 585-461-3509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number237871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: