Dr. Michael J Decicco
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Pediatric Otolaryngology
200 North St Suite 301
Geneva
, New York 14456-1561
Dr. Michael J Decicco
Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Pediatric Otolaryngology
200 North St Suite 301
Geneva
, New York 14456-1561
(315) 787-5350
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael J Decicco
- 200 North St Suite 301
- Geneva, NY
- Zip : 14456-1561
- Fax : (315) 787-5350
- Phone : (315) 787-5353
Second Address
- Dr. Michael J Decicco
- 200 North St Suite 301
- Geneva, NY
- Zip : 14456-1561
- Fax : (315) 787-5350
- Phone : (315) 787-5353
Reviews
FAQs
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Is Dr. Michael J Decicco a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 220674 | NY |
| N | 207YP0228X | Pediatric Otolaryngology | 220674 | NY |
| N | 207YS0123X | Facial Plastic Surgeon | 220674 | NY |
National Provider Identifier
| NPI | 1255355202 |
|---|---|
| Provider Name | Dr. Michael J Decicco |
| First Address | Geneva, NY 14456-1561 |
| Second Address | Geneva, NY 14456-1561 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 12/01/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02171671 | (05) | NY |
| H46808 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.