MICHAEL J DECICCO MD PLLC
Medical Practice at North St, Geneva, NY

License number
New York 220674
Category
Medical Practice
Type
Otolaryngology
License number
New York 220674
Category
Medical Practice
Type
Pediatric Otolaryngology
License number
New York 220674
Category
Medical Practice
Type
Facial Plastic Surgery
Owner
Name: DR. MICHAEL J DECICCO MD
Title: OWNER
Phone: (315) 787-5353
Address
Address 2
200 North St NORTH SUITE 301, Geneva, NY 14456
67 Kendall St SUITE 200, Clifton Springs, NY 14432
National Provider ID: 1417099136
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHAEL J. DECICCO, M.D., PLLC

200 N St, Geneva, NY 14456

Doing business as:
Michael J Decicco MD
Registration:
Jan 25, 2007
Phone:
(315) 787-5353 (Phone)
State ID:
3467878
Business type:
Domestic Professional Service Limited Liability Company
Categories:
Allergy & Immunology Physicians & Surgeons, Otolaryngology Physicians & Surgeons, Physicians & Surgeons
Products:
Allergies, Balance Disorders, Ear Infections, ...

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