|Active||Over 10 years ago|
|70 PROFESSIONAL PARKWAY
LOCKPORT NY, 14094-5366, US
|1254 CHARLESGATE CIRCLE
EAST AMHERST NY, 14051-1216, US
|License State||New York|
|Remove 1073570396 NPI Number|
According to our database, Dr. Vivian Kudgus Fasula M.D. NPI is 1073570396, taxonomy code is 207W00000X and license number is 148889, license state is located at New York. Vivian Kudgus Fasula M.D. physically located at 70 Professional Parkway, Lockport NY, 14094-5366. NPI Number Vivian Kudgus Fasula M.D. has the Individual type.
1073570396 NPI number is provided on an as is basis without warranty of any kind. 1073570396 is maintained by the National Plan & Provider Enumeration System. The contents of Vivian Kudgus Fasula M.D. are for informational purposes only.