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General NPI Number Information
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NPI Number | 1780882670
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Entity Type | Individual
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Provider Name | KATIE J MACALUSO M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | 39 WASHINGTON AVE
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City | BATAVIA
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State | NY
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Zip | 14020-2035
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Country | US
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Telephone | 585-409-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-409-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2012014709
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 04-35741
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 261390
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License Number State | NY
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