Vivian Kudgus Fasula is a Ophthalmology Physician based in East Amherst, NY. Vivian Kudgus Fasula practices in Lockport, NY and has the professional credentials of MD. The NPI Number for Vivian Kudgus Fasula is 1073570396 and holds a License No. 148889 (New York).
The current practice location address for Vivian Kudgus Fasula is 70 Professional Parkway, Lockport, NY and can be reached out via phone at 716-434-7505.
Identifier | Type | State | Issuer |
---|---|---|---|
00824488 | 05 | NY | |
DISABILITY | 01 | NY | D30278 |
16-1383123 | 01 | FEDERAL ID |
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