| Iacobucci Internal Medicine Pllc | |
|
7255 State Route 96 Ste 210 Victor NY 14564-9009 | |
| (585) 205-8330 | |
| Not Available |
| Full Name | Iacobucci Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7255 State Route 96 Ste 210, Victor, New York |
| Authorized Official Name and Position | James J Iacobucci (PHYSICIAN / OWNER) |
| Authorized Official Contact | 8582058330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Iacobucci Internal Medicine Pllc 7255 State Route 96 Ste 210 Victor NY 14564-9009 Ph: (585) 205-8330 | Iacobucci Internal Medicine Pllc 7255 State Route 96 Ste 210 Victor NY 14564-9009 Ph: (585) 205-8330 |
| NPI Number | 1376323766 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 6002267804 |
|---|---|
| Medicare Enrollment ID | O20240105001632 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376323766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James J Iacobucci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700818945 PECOS PAC ID: 7517094642 Enrollment ID: I20100422000103 |
Vito C. Quatela, Md, Victor Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7255 State Route 96, Victor, NY 14564 Phone: 585-244-1000 |