National Provider Identifier
Joshua Daniel Pezzulo, MD
Joshua Daniel Pezzulo, MD 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) 602-2560.
Profile Overview
- NPI
- 1144906678
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- June 27, 2023
- Last Updated
- May 11, 2024
Practice Location
- 601 Elmwood Avenue Box 665
- Rochester, NY 14642-2047
Phone: (585) 602-2560
Mailing Address
- 601 Elmwood Avenue Box 665
- Rochester, NY 14642-0001
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1144906678
- Entity Type
- Individual
- Last Name
- Pezzulo
- First Name
- Joshua
- Middle Name
- Daniel
- Credential
- MD
- Mailing Street Address
- 601 Elmwood Avenue Box 665
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 601 Elmwood Avenue Box 665
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-2047
- Practice Country
- US
- Practice Phone
- (585) 602-2560
- Enumeration Date
- June 27, 2023
- Last Updated
- May 11, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)