Individual
DR. DANA JAMES VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MBA, CPE
Contact information
Practice address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 361-2409
(315) 361-2391
Mailing address
321 GENESEE ST, ONEIDA, NY 13421-2611
(315) 361-2409
(315) 361-2391
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
228315
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02462802
—
NY
Enumeration date
08/22/2005
Last updated
11/22/2011
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