La Marca, Nicholas Vincent

La Marca, Nicholas Vincent is an individual health care provider with primary practice located at 2128 Elmwood Ave , Buffalo NY 14207-1910. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. La Marca, Nicholas Vincent can be contacted via phone (716) 874-4500.

Contact Information

Primary practice address
2128 Elmwood Ave Buffalo NY 14207-1910
Phone: (716) 874-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X P77084 New York

Profile Details

NPI number 1245546720
LBN Legal business name La Marca, Nicholas Vincent
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2010
Last updated Aug 23rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245546720 NPPES
New York MEDICAID 01465154

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