person
Anthony M Locicero III, PA
Medical Physician Assistant in Spencerport, New York
NPI 1023047610

Anthony M Locicero III is a Medical Physician Assistant based in Spencerport, NY and is specialized in Medical. Anthony M Locicero III practices in Spencerport, NY and has the professional credentials of PA. The NPI Number for Anthony M Locicero III is 1023047610 and holds a License No. 005180 (New York).

The current practice location address for Anthony M Locicero III is 4 Land Re Way, Spencerport, NY and can be reached out via phone at 585-368-6620 and via fax at 585-368-6621.

Location: 4 Land Re Way, Spencerport, NY, 14559-1735
person
Provider Profile Details
NPI Number
1023047610
Provider Name
Anthony M Locicero III
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4 Land Re Way, Spencerport, NY, 14559-1735
Phone Number
585-368-6620
Fax Number
585-368-6621
Provider Enumeration Date
07/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02407174 05 NY
institution
Provider Business Practice Location Address Details
Address
4 Land Re Way
City
State
Zip
14559-1735
Phone Number
585-368-6620
Fax Number
585-368-6621
person
Provider Business Mailing Address Details
Address
4 Land Re Way
City
State
Zip
14559-1735
Phone Number
585-368-6620
Fax Number
585-368-6621
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
005180 (New York)
Definition
Definition to come...
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