Individual
CARLO ERCOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
625 ELMWOOD AVE, BOX 683, ROCHESTER, NY 14620-2913
(585) 275-5042
Mailing address
625 ELMWOOD AVE, BOX 683, ROCHESTER, NY 14620-2913
(585) 275-5042
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
048082
NY
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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