National Provider Identifier

Emily Grace Fanciullo, M.D.

Emily Grace Fanciullo, M.D. is listed in the NPPES registry with a primary specialty of Anesthesiology Physician in Rochester, NY and a listed phone number of (585) 922-4159.

NPI 1497923387Rochester, NYAnesthesiology Physician

Profile Overview

NPI
1497923387
Provider Type
Individual
Primary Specialty
Anesthesiology Physician
Enumeration Date
February 14, 2008
Last Updated
April 03, 2025

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-4159

Mailing Address

  • 601 Elmwood Ave
  • Box 604
  • Rochester, NY 14642-0001

Specialties

  • Anesthesiology Physician (207L00000X)

Endpoints

  • efanciullo135891@direct.rochesterregional.org

    Direct Messaging Address | Direct | Rochester, NY 14621

Full Record
NPI
1497923387
Entity Type
Individual
Last Name
Fanciullo
First Name
Emily
Middle Name
Grace
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
601 Elmwood Ave
Mailing Address Line 2
Box 604
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 784-2450
Mailing Fax
(585) 756-0169
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-4159
Practice Fax
(585) 922-3731
Enumeration Date
February 14, 2008
Last Updated
April 03, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
April 03, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Anesthesiology Physician (207L00000X)