National Provider Identifier
John A Ice, M.D.
John A Ice, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 862-1423.
Profile Overview
- NPI
- 1053546002
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- May 20, 2009
- Last Updated
- May 20, 2009
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2648
Phone: (716) 862-1423
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1053546002
- Entity Type
- Individual
- Last Name
- Ice
- First Name
- John
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 2157 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2648
- Mailing Country
- US
- Mailing Phone
- (716) 862-1423
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2648
- Practice Country
- US
- Practice Phone
- (716) 862-1423
- Enumeration Date
- May 20, 2009
- Last Updated
- May 20, 2009
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)