Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL J DECICCO, MD
Active Sole ProprietorDR. MICHAEL J DECICCO, MD is a Otolaryngology healthcare provider located in GENEVA, New York. NPI 1255355202 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · GENEVA, NY
Registration Details
- NPI Number
- 1255355202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.092719644738 yrs)
- Last Updated
- Jul 6, 2023
- Licenses
-
220674 (NY)220674 (NY)220674 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 NORTH STSUITE 301GENEVA, NY, 144561561Browse NY providers · Browse ZIP 14456
- Phone
- 3157875353
- Fax
- 3157875350
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
- Additional Specialty
- Pediatric Otolaryngology
Other Otolaryngology Providers in GENEVA, NY
| Name | Credential | NPI |
|---|---|---|
| GREGORY G CARNEVALE | M.D. | 1689615924 |
| DR. MARIE-ANNE RACHEL CORMIER | MD | 1477576866 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.