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Organization

JOHN M AQUINO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MICHAEL AQUINO DPM (PODIATRIST)
(716) 827-0100
Entity
Organization

Contact information

Practice address
2047 CLINTON STREET, BUFFALO, NY 14206
(716) 827-0100
(716) 825-1381
Mailing address
2047 CLINTON STREET, BUFFALO, NY 14206
(716) 827-0100
(716) 825-1381

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
N003211
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00743393
NY
01
0544160001
NHIC JURISDICTION A
NY
Enumeration date
01/17/2008
Last updated
07/19/2010
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