MICHAEL J DECICCO MD PLLC
NPI 1417099136
Otolaryngology in Geneva, NY

Active since February 12, 2007
200 NORTH ST, SUITE 301, GENEVA, NY 14456(315) 787-5353(315) 315-7875 Get Directions Write a Review

NPPES record last updated: August 22, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Decicco Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL J DECICCO MD PLLC (NPI 1417099136) is a healthcare organization registered as an otolaryngology in Geneva, New York and active in the NPI registry since February 2007. The organization lists Michael J Decicco, Owner, as its authorized official.

NPPES Registry Identity

NPI1417099136
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMICHAEL J DECICCO MD PLLC
Location Address200 NORTH ST, SUITE 301Geneva, NY 14456-1561
Mailing Address67 Kendall Street, Suite 200Clifton Springs, NY 14432 · (315) 462-9482 · Fax (315) 462-5438
Fax(315) 315-7875
Organization SubpartNo
Authorized OfficialMichael J DeciccoOwner · (315) 787-5353
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2007
NPI 1417099136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NY · 220674
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 220674 (NY)
Also ListedOtolaryngology · Facial Plastic SurgeryTaxonomy 207YS0123X · License 220674 (NY)
200 NORTH ST, Geneva, NY 14456

Other Identifiers 1

Medicare PINBA1127NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Internal Medicine
200 NORTH ST, SUITE 102
GENEVA, NY 14456
Pharmacy (Community/Retail Pharmacy)
200 NORTH ST, ST 103
GENEVA, NY 14456
Urology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Physician Assistant
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Obstetrics & Gynecology
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Nurse Practitioner (Family)
200 NORTH ST, SUITE 101
GENEVA, NY 14456
Obstetrics & Gynecology
200 NORTH ST, SUITE 101
GENEVA, NY 14456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael J Decicco MD PLLC's NPI number?

The NPI number for Michael J Decicco MD PLLC is 1417099136. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Michael J Decicco MD PLLC located?

Michael J Decicco MD PLLC is located at 200 North St Suite 301, Geneva, NY 14456. The listed phone number is (315) 787-5353.

What is Michael J Decicco MD PLLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Michael J Decicco MD PLLC was last updated on August 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.