Healthcare Provider Details

I. General information

NPI: 1760489736
Provider Name (Legal Business Name): FRANCO E VIGNA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 07/23/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6941 WILLIAMS RD
NIAGARA FALLS NY
14304
US

IV. Provider business mailing address

6941 WILLIAMS RD
NIAGARA FALLS NY
14304-3022
US

V. Phone/Fax

Practice location:
  • Phone: 716-629-3338
  • Fax: 716-304-6571
Mailing address:
  • Phone: 716-629-3338
  • Fax: 716-304-6571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number225427-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: