Provider Demographics
NPI:1043312093
Name:FIORICA, NORMAN O (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:O
Last Name:FIORICA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5320 MILITARY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:NY
Mailing Address - Zip Code:14092-2149
Mailing Address - Country:US
Mailing Address - Phone:716-297-0001
Mailing Address - Fax:716-297-3213
Practice Address - Street 1:5320 MILITARY RD STE 105
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:NY
Practice Address - Zip Code:14092-2149
Practice Address - Country:US
Practice Address - Phone:716-297-0001
Practice Address - Fax:716-297-3213
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY164425-1207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01047772Medicaid
NYB35926Medicare UPIN
NY01047772Medicaid