National Provider Identifier
Samuel Joseph Vicaretti Jr., PT
Samuel Joseph Vicaretti Jr., PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 862-6840.
Profile Overview
- NPI
- 1164457818
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 11, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Room 314D
- Buffalo, NY 14215-1129
Phone: (716) 862-6840
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1164457818
- Entity Type
- Individual
- Last Name
- Vicaretti
- First Name
- Samuel
- Middle Name
- Joseph
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- PT
- Mailing Street Address
- 3495 Bailey Ave
- Mailing Address Line 2
- Room 314D
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Mailing Phone
- (716) 862-6840
- Mailing Fax
- (716) 862-8664
- Practice Street Address
- 3495 Bailey Ave
- Practice Address Line 2
- Room 314D
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6840
- Practice Fax
- (716) 862-8664
- Enumeration Date
- July 11, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)