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NPI Code Detail

MEDICARE: ANTHONY VILLANI

MEDICARE: ANTHONY VILLANI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician222626NY

General Provider Information

NPI Number : 1376576199
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY VILLANI
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number : 585-922-0553
Fax Number :
Provider Business Practice Location Address
First Line : 1111 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3005
Country : US
Telephone Number : 585-241-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 12/10/2018

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