Healthcare Provider Details

I. General information

NPI: 1750057899
Provider Name (Legal Business Name): JAMES CUTAIA JR. MD, PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2021
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 BOXBOROUGH LN
ROCHESTER NY
14616-5520
US

IV. Provider business mailing address

19 BOXBOROUGH LN
ROCHESTER NY
14616-5520
US

V. Phone/Fax

Practice location:
  • Phone: 585-802-3556
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number067957
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: