National Provider Identifier

Anthony S Mencucci, PT

Anthony S Mencucci, PT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Fairport, NY and a listed phone number of (585) 425-1018.

NPI 1659446441Fairport, NYOrthopedic Physical Therapist

Profile Overview

NPI
1659446441
Provider Type
Individual
Primary Specialty
Orthopedic Physical Therapist
Enumeration Date
November 21, 2006
Last Updated
February 24, 2015

Practice Location

  • 790 Ayrault RD
  • Fairport, NY 14450

Phone: (585) 425-1018

Mailing Address

  • 417 Macedon Center RD
  • Macedon, NY 14502

Specialties

  • Orthopedic Physical Therapist (2251X0800X)
Full Record
NPI
1659446441
Entity Type
Individual
Last Name
Mencucci
First Name
Anthony
Middle Name
S
Credential
PT
Mailing Street Address
417 Macedon Center RD
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502
Mailing Country
US
Mailing Phone
(315) 986-7544
Practice Street Address
790 Ayrault RD
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 425-1018
Practice Fax
(585) 425-8955
Enumeration Date
November 21, 2006
Last Updated
February 24, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopedic Physical Therapist (2251X0800X)
Other Identifiers
103116FT (NY, Preferred Care), P010014967 (NY, Blue Choice), 7344272 (NY, Aetna)