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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043205545 NPPES
New York MEDICAID 01892222
New York Other P00884039

Popular Providers