Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004085-1 | NY |
NPI | 1427035088 |
---|---|
Provider Name | Dr. Joseph S Ficchi |
First Address | Brooklyn, NY 11204 |
Second Address | Brooklyn, NY 11204-5137 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2005 |
Last Update Date | 29/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51372 | (02) | NY |