Individual
MARCELO FACCIUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 E 98TH ST, 12TH FL, NEW YORK, NY 10029-6501
(212) 659-8096
(212) 241-2064
Mailing address
1 GUSTAVE L LEVY PL, BOX 1104, NEW YORK, NY 10029-6500
(212) 659-8096
(212) 241-2064
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
226190
NY
208600000X
Surgery Physician
226190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02473247
—
NY
Enumeration date
11/30/2006
Last updated
05/18/2012
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