Individual
DEAN YACOBUCCI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7502
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7502
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
186428-1
NY
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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