Individual
DR. BRUCE FRANCIS CORSELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 GOODMAN ST S, ROCHESTER, NY 14607-3105
(585) 271-2755
(585) 271-7358
Mailing address
300 GOODMAN ST S, ROCHESTER, NY 14607-3105
(585) 271-2755
(585) 271-7358
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
145625
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01029616
—
NY
01
—
100936AA
PREFERRED CARE
NY
Enumeration date
07/12/2006
Last updated
07/09/2007
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