Livecchi, Mark A
Livecchi, Mark A is an individual health care provider with primary practice located at 2655 Ridgeway Ave Suite 420, Rochester NY 14626-4285. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Livecchi, Mark A can be contacted via phone (585) 723-7972.Contact Information
Primary practice address
2655 Ridgeway Ave Suite 420
Rochester NY 14626-4285
Phone: (585) 723-7972
Fax: (585) 368-3119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 200828 | New York |
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine | 2081P0004X | 200828 | New York |
Profile Details
NPI number | 1043205545 |
---|---|
LBN Legal business name | Livecchi, Mark A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 12th, 2005 |
Last updated | Feb 21st, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043205545 | NPPES |
New York | MEDICAID | 01892222 | |
New York | Other | P00884039 |
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