Individual
MARC IACONA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 COBBLESTONE COURT DR, VICTOR, NY 14564-1045
(585) 922-9280
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
313249
NY
Other
Enumeration date
04/05/2018
Last updated
09/18/2024
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