National Provider Identifier

Andrew Mark Vincek, PT, DPT

Andrew Mark Vincek, PT, DPT 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.

NPI 1700604741Fredonia, NYPhysical Therapist

Profile Overview

NPI
1700604741
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 30, 2024
Last Updated
September 30, 2024

Practice Location

  • 12 Brigham RD
  • Fredonia, NY 14063-1000

Phone: (716) 679-7447

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1700604741
Entity Type
Individual
Last Name
Vincek
First Name
Andrew
Middle Name
Mark
Credential
PT, DPT
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
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
Enumeration Date
September 30, 2024
Last Updated
September 30, 2024
Sex
Male
Sole Proprietor
No
Certification Date
September 30, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)