Individual
DR. VIVIAN KUDGUS FASULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
70 PROFESSIONAL PARKWAY, LOCKPORT, NY 14094-5366
(716) 434-7505
Mailing address
1254 CHARLESGATE CIRCLE, EAST AMHERST, NY 14051-1216
(716) 636-0113
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
148889
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00824488
—
NY
01
—
16-1383123
FEDERAL ID
—
01
—
DISABILITY
D30278
NY
Enumeration date
04/28/2006
Last updated
05/14/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us