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ERICA ANN IACOBUCCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPA-C

Contact information

Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2464
Mailing address
13272 BELSCHER RD, SPRINGVILLE, NY 14141-9235
(716) 225-8928

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011945
NY

Other

Enumeration date
10/25/2011
Last updated
08/22/2014
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