Provider Demographics
NPI:1366012247
Name:VITO C. QUATELA, MD, VICTOR MEDICAL, PLLC
Entity Type:Organization
Organization Name:VITO C. QUATELA, MD, VICTOR MEDICAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:STINARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-269-3621
Mailing Address - Street 1:973 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2216
Mailing Address - Country:US
Mailing Address - Phone:585-269-3688
Mailing Address - Fax:
Practice Address - Street 1:7255 STATE ROUTE 96
Practice Address - Street 2:
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9009
Practice Address - Country:US
Practice Address - Phone:585-244-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports MedicineGroup - Multi-Specialty