Individual provider · Type 1 NPI

Philip J. Fraccola, MD

Diagnostic Radiology Physician · Liverpool, NY

NPI number 1699767707 Active

Practice location

5100 W Taft Rd, Suite 2A
Liverpool, NY 13088-3807

Fax (315) 452-2559

Mailing address

4567 Crossroads Park Dr, 2nd Floor
Liverpool, NY 13088-3589

Other practice locations

  • 1100 NW 95th St, Miami, FL 33150-2038 · (305) 835-6000
  • 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 · (253) 761-4200

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD61497216 (WA)
Diagnostic Radiology Physician 2085R0202XME147948 (FL)
Diagnostic Radiology Physician Primary 2085R0202X173758 (NY)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

123 other providers at this address

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About NPI 1699767707

Philip J. Fraccola, MD's National Provider Identifier is 1699767707, issued on Aug 16, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Liverpool, NY. The record was last updated on Aug 30, 2024.