Organization
PODIATRY ASSOCIATES OF JAMESTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY T TUCCIO DPM (PRESIDENT)
(716) 483-2200
Entity
Organization
Contact information
Practice address
844 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2520
(716) 483-2200
(716) 487-2885
Mailing address
844 FAIRMOUNT AVE, JAMESTOWN, NY 14701-2520
(716) 483-2200
(716) 487-2885
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010132000003
—
PA
01
—
0065865000
BLUE CROSS PERSONAL CHOIC
PA
05
—
01735464
—
NY
01
—
185236
BLUE CROSS OF PA
PA
Enumeration date
01/05/2006
Last updated
10/15/2009
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