Individual
DR. NICHOLAS E NACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-2306
(585) 275-9555
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-9555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
042.0013219
VT
207P00000X
Emergency Medicine Physician
Primary
265045
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
265045
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
265045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03583713
—
NY
Enumeration date
06/01/2010
Last updated
01/03/2025
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