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

Brandon Douglas Mustardo

Individual provider Registered Nurse · NPI 1023703311

Brandon Douglas Mustardo is a Nurse Practitioner in Canandaigua, New York. Graduated from University of Rochester School of Medicine and Dentistry in 2023, 3 years ago. Practices with University Urology Associates, a 64-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
NY
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

699 S Main St
Canandaigua, NY 14424-2208
Phone: (585) 275-2838
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 351989 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 671616 (NY)

Record details

NPI number1023703311
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2023
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023
Mailing address601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2023 (3 years in practice)
Group practice University Urology Associates — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Canandaigua