Organization
SERRIE C. LICO MD, CARDIOVASCULAR & THORACIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERRIE C. LICO M.D. (PRESIDENT)
(716) 821-7714
Entity
Organization
Contact information
Practice address
515 ABBOTT RD, SUITE 101, BUFFALO, NY 14220-1700
(716) 821-7714
(716) 821-7716
Mailing address
PO BOX 24, ORCHARD PARK, NY 14127-0024
(716) 821-7714
(716) 821-7716
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
184556-1
NY
Other
Enumeration date
06/17/2010
Last updated
01/22/2013
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