Individual
ALEXANDER VAZZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4638
Mailing address
245 N 15TH ST, PHILADELPHIA, PA 19102-1101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
288929
NY
207P00000X
Emergency Medicine Physician
MT206727
PA
Other
Enumeration date
06/19/2014
Last updated
07/24/2017
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