Healthcare Provider Details

I. General information

NPI: 1013005602
Provider Name (Legal Business Name): VITO C. QUATELA, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

973 EAST AVE
ROCHESTER NY
14607-2216
US

IV. Provider business mailing address

973 EAST AVE
ROCHESTER NY
14607-2216
US

V. Phone/Fax

Practice location:
  • Phone: 585-244-1000
  • Fax:
Mailing address:
  • Phone: 585-244-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. DENISE STINARDO
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 585-244-1000