Organization
YANKEE MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN NICHOLAS FICOCIELLO CPO (PRESIDENT)
(802) 863-4591
Entity
Organization
Contact information
Practice address
141 FAIRFAX RD, SAINT ALBANS, VT 05478-6271
(802) 527-1343
Mailing address
276 NORTH AVE, BURLINGTON, VT 05401-2918
(802) 863-4591
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007330
—
VT
05
—
00358269
—
NY
01
—
1505
MVP
VT
05
—
99007330
—
NH
01
—
YAV7330
BCBS VT
VT
Enumeration date
12/13/2006
Last updated
09/11/2025
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