National Provider Identifier
Philip Dominic Vitticore, M.D.
Philip Dominic Vitticore, M.D. is listed in the NPPES registry with a primary specialty of Neurology Physician in Canandaigua, NY and a listed phone number of (585) 393-7293.
Profile Overview
- NPI
- 1417969049
- Provider Type
- Individual
- Primary Specialty
- Neurology Physician
- Enumeration Date
- August 12, 2006
- Last Updated
- June 01, 2021
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7293
Specialties
- Neurology Physician (2084N0400X)
Full Record
- NPI
- 1417969049
- Entity Type
- Individual
- Last Name
- Vitticore
- First Name
- Philip
- Middle Name
- Dominic
- Credential
- M.D.
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 393-7293
- Mailing Fax
- (585) 393-8375
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7293
- Practice Fax
- (585) 393-8375
- Enumeration Date
- August 12, 2006
- Last Updated
- June 01, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 01, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neurology Physician (2084N0400X)
- Other Identifiers
- RB8229 (NY, Medicare Ptan)