Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Fazzalari, MD

Individual provider Plastic and Reconstructive Surgery Physician · NPI 1144776139

Amanda Fazzalari, MD is a Plastic and Reconstructive Surgery in Rochester, New York. Qualified in 2016, 10 years ago. Practices with Physicians Referral Service, a 2,727-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York and Texas.

Years since qualifying
10
Licensed in
NY, TX
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 344042 (NY)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence V5529 (TX)

Record details

NPI number1144776139
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physicians Referral Service — 2727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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