National Provider Identifier
Randall Vincek, PT, OCS
Randall Vincek, PT, OCS is listed in the NPPES registry with a primary specialty of Physical Therapist in Fredonia, NY and a listed phone number of (716) 679-7447.
Profile Overview
- NPI
- 1427007178
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- May 09, 2006
- Last Updated
- July 08, 2007
Practice Location
- 12 Brigham RD
- Fredonia, NY 14063-1000
Phone: (716) 679-7447
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1427007178
- Entity Type
- Individual
- Last Name
- Vincek
- First Name
- Randall
- Name Prefix
- Mr.
- Credential
- PT, OCS
- Mailing Street Address
- 12 Brigham RD
- Mailing City
- Fredonia
- Mailing State
- NY
- Mailing ZIP Code
- 14063-1000
- Mailing Country
- US
- Mailing Phone
- (716) 679-7447
- Mailing Fax
- (716) 679-7446
- Practice Street Address
- 12 Brigham RD
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1000
- Practice Country
- US
- Practice Phone
- (716) 679-7447
- Practice Fax
- (716) 679-7446
- Enumeration Date
- May 09, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 000623193006 (NY, Blue Cross/Blue Shield), 00025972901 (NY, Univera), 821432 (NY, Managed Physical Network), 9310590 (NY, Independent Health)