Individual
GREGG T. NICANDRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 ELMWOOD AVE, 665, ROCHESTER, NY 14642
(585) 276-4874
(585) 756-4721
Mailing address
601 ELMWOOD AVE, BOX 665, ROCHESTER, NY 14642
(585) 276-4874
(585) 756-4721
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
252890
NY
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
149808
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
252890
NY
207XX0801X
Orthopaedic Trauma Physician
252890
NY
Other
Enumeration date
09/01/2006
Last updated
07/06/2023
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