National Provider Identifier

Marc Iacona Jr., MD

Marc Iacona Jr., MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Victor, NY and a listed phone number of (585) 922-9280.

NPI 1790281970Victor, NYFamily Medicine Physician

Profile Overview

NPI
1790281970
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 05, 2018
Last Updated
September 18, 2024

Practice Location

  • 140 Cobblestone Court Dr
  • Victor, NY 14564-1045

Phone: (585) 922-9280

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1790281970
Entity Type
Individual
Last Name
Iacona
First Name
Marc
Name Suffix
Jr.
Credential
MD
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Practice Street Address
140 Cobblestone Court Dr
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1045
Practice Country
US
Practice Phone
(585) 922-9280
Enumeration Date
April 05, 2018
Last Updated
September 18, 2024
Sex
Male
Sole Proprietor
No
Certification Date
September 18, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)