National Provider Identifier

Heather Vicoria

Heather Vicoria is listed in the NPPES registry with a primary specialty of Specialist in Cheektowaga, NY and a listed phone number of (716) 855-8871.

NPI 1669953451Cheektowaga, NYSpecialist

Profile Overview

NPI
1669953451
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 28, 2018
Last Updated
August 28, 2018

Practice Location

  • 170 Rosewood Ter
  • Cheektowaga, NY 14225-3014

Phone: (716) 855-8871

Mailing Address

  • 145 Bradwood RD
  • West Seneca, NY 14224-4247

Specialties

  • Specialist (174400000X)
Full Record
NPI
1669953451
Entity Type
Individual
Last Name
Vicoria
First Name
Heather
Mailing Street Address
145 Bradwood RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-4247
Mailing Country
US
Mailing Phone
(716) 803-4752
Practice Street Address
170 Rosewood Ter
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-3014
Practice Country
US
Practice Phone
(716) 855-8871
Enumeration Date
August 28, 2018
Last Updated
August 28, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)