Organization Active NPI

Serrie C. Lico MD, Cardiovascular & Thoracic Surgery PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Buffalo, NY
National Provider Identifier
1093036659
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
184556-1 Issued in NY
Legal business name
SERRIE C. LICO MD, CARDIOVASCULAR & THORACIC SURGERY PC
Practice address
515 Abbott Rd
Suite 101
Buffalo, NY 14220-1700
Phone
(716) 821-7714
Fax
(716) 821-7716
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Serrie C. Lico, M.D.
Title
President
Phone
(716) 821-7714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208G00000X 184556-1 NY Primary

Addresses

Primary practice location

515 Abbott Rd
Suite 101
Buffalo, NY 14220-1700

Mailing address

PO Box 24
Orchard Park, NY 14127-0024
Phone (716) 821-7714

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1093036659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141270024",
            "telephone_number": "716-821-7714",
            "fax_number": "716-821-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 ABBOTT RD",
            "address_2": "SUITE 101",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142201700",
            "telephone_number": "716-821-7714",
            "fax_number": "716-821-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERRIE C. LICO MD, CARDIOVASCULAR & THORACIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "LICO",
        "authorized_official_first_name": "SERRIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-821-7714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "184556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.