National Provider Identifier

Michael Andrew Palluconi

Michael Andrew Palluconi is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-5051.

NPI 1013768605Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1013768605
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 01, 2024
Last Updated
April 01, 2024

Practice Location

  • 625 Elmwood Ave # 683
  • Rochester, NY 14620-2913

Phone: (585) 275-5051

Mailing Address

  • 12 Coyote Run
  • Spencerport, NY 14559-2609

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1013768605
Entity Type
Individual
Last Name
Palluconi
First Name
Michael
Middle Name
Andrew
Name Prefix
Dr.
Mailing Street Address
12 Coyote Run
Mailing City
Spencerport
Mailing State
NY
Mailing ZIP Code
14559-2609
Mailing Country
US
Mailing Phone
(585) 694-6611
Practice Street Address
625 Elmwood Ave # 683
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-5051
Enumeration Date
April 01, 2024
Last Updated
April 01, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
April 01, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)