National Provider Identifier
Vincent Joseph Fasanello, MD
Vincent Joseph Fasanello, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Pittsford, NY and a listed phone number of (585) 381-1558.
Profile Overview
- NPI
- 1902827314
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- July 21, 2006
- Last Updated
- October 25, 2022
Practice Location
- 135 Sullys Trl
- Ste 11
- Pittsford, NY 14534-4564
Phone: (585) 381-1558
Specialties
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1902827314
- Entity Type
- Individual
- Last Name
- Fasanello
- First Name
- Vincent
- Middle Name
- Joseph
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 135 Sullys Trl
- Mailing Address Line 2
- Ste 11
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-4564
- Mailing Country
- US
- Mailing Phone
- (585) 381-1558
- Mailing Fax
- (585) 381-0109
- Practice Street Address
- 135 Sullys Trl
- Practice Address Line 2
- Ste 11
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-4564
- Practice Country
- US
- Practice Phone
- (585) 381-1558
- Practice Fax
- (585) 381-0109
- Enumeration Date
- July 21, 2006
- Last Updated
- October 25, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 08, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X)
- Other Identifiers
- 101190EU (NY, Preferred Care), 010176035 (NY, Blue Choice), 5714454 (NY, Aetna), 1745 (NY, Blue Cross Blue Shield)