National Provider Identifier

Marc Robert Pascucci, PT, DPT

Marc Robert Pascucci, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 874-4500.

NPI 1609240738Buffalo, NYPhysical Therapist

Profile Overview

NPI
1609240738
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 01, 2015
Last Updated
December 01, 2015

Practice Location

  • 2128 Elmwood Ave
  • Buffalo, NY 14207-1910

Phone: (716) 874-4500

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1609240738
Entity Type
Individual
Last Name
Pascucci
First Name
Marc
Middle Name
Robert
Name Prefix
Mr.
Credential
PT, DPT
Mailing Street Address
2128 Elmwood Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1910
Mailing Country
US
Mailing Phone
(716) 874-4500
Practice Street Address
2128 Elmwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1910
Practice Country
US
Practice Phone
(716) 874-4500
Enumeration Date
December 01, 2015
Last Updated
December 01, 2015
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
01465154 (NY)