National Provider Identifier

Patrick Gardullo

Patrick Gardullo 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 1841988474Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1841988474
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 01, 2023
Last Updated
May 01, 2023

Practice Location

  • 625 Elmwood Ave
  • Rochester, NY 14620-2913

Phone: (585) 275-5051

Mailing Address

  • 6 Castlewall Ct
  • Lutherville, MD 21093-7002

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1841988474
Entity Type
Individual
Last Name
Gardullo
First Name
Patrick
Mailing Street Address
6 Castlewall Ct
Mailing City
Lutherville
Mailing State
MD
Mailing ZIP Code
21093-7002
Mailing Country
US
Mailing Phone
(443) 668-5692
Practice Street Address
625 Elmwood Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-2913
Practice Country
US
Practice Phone
(585) 275-5051
Enumeration Date
May 01, 2023
Last Updated
May 01, 2023
Sex
Male
Sole Proprietor
No
Certification Date
May 01, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)