National Provider Identifier

John Joseph Vico, MD

John Joseph Vico, MD is listed in the NPPES registry with a primary specialty of Specialist in Jamestown, NY and a listed phone number of (716) 487-0141.

NPI 1841312758Jamestown, NYSpecialist

Profile Overview

NPI
1841312758
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
April 04, 2007
Last Updated
July 08, 2007

Practice Location

  • 207 Foote Ave
  • Jamestown, NY 14701-7077

Phone: (716) 487-0141

Mailing Address

  • 9458 State Route 89
  • Trumansburg, NY 14886-9218

Specialties

  • Specialist (174400000X)
Full Record
NPI
1841312758
Entity Type
Individual
Last Name
Vico
First Name
John
Middle Name
Joseph
Credential
MD
Mailing Street Address
9458 State Route 89
Mailing City
Trumansburg
Mailing State
NY
Mailing ZIP Code
14886-9218
Mailing Country
US
Mailing Phone
(607) 387-5254
Practice Street Address
207 Foote Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-7077
Practice Country
US
Practice Phone
(716) 487-0141
Enumeration Date
April 04, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)
Other Identifiers
138040 (NY, License)