National Provider Identifier
Michael J Decicco, MD
Michael J Decicco, MD is listed in the NPPES registry with a primary specialty of Otolaryngology Physician in Geneva, NY and a listed phone number of (315) 787-5353.
Profile Overview
- NPI
- 1255355202
- Provider Type
- Individual
- Primary Specialty
- Otolaryngology Physician
- Enumeration Date
- July 26, 2006
- Last Updated
- July 06, 2023
Practice Location
- 200 North St
- Suite 301
- Geneva, NY 14456-1561
Phone: (315) 787-5353
Specialties
- Otolaryngology Physician (207Y00000X)
- Facial Plastic Surgery Physician (207YS0123X)
- Pediatric Otolaryngology Physician (207YP0228X)
Endpoints
- mdecicco56501@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1255355202
- Entity Type
- Individual
- Last Name
- Decicco
- First Name
- Michael
- Middle Name
- J
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 200 North St
- Mailing Address Line 2
- Suite 301
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1561
- Mailing Country
- US
- Mailing Phone
- (315) 787-5353
- Mailing Fax
- (315) 787-5350
- Practice Street Address
- 200 North St
- Practice Address Line 2
- Suite 301
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1561
- Practice Country
- US
- Practice Phone
- (315) 787-5353
- Practice Fax
- (315) 787-5350
- Enumeration Date
- July 26, 2006
- Last Updated
- July 06, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Otolaryngology Physician (207Y00000X), Facial Plastic Surgery Physician (207YS0123X), Pediatric Otolaryngology Physician (207YP0228X)
- Other Identifiers
- 02171671 (NY)