Michael Fiacco, MD Valid NPI

Individual provider · Family Medicine Physician · East Syracuse, NY

NPI

1205364940

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

303219 (NY)

Sex

Male

Sole proprietor

No

Enumerated

2017-05-25

Last updated

2020-07-09