Organization
ORCHARD PARK PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH A DEVINCENTIS DPM (PRESIDENT)
(716) 667-2601
Entity
Organization
Contact information
Practice address
3671 SOUTHWESTERN BLVD, SUITE 213, ORCHARD PARK, NY 14127-1752
(716) 667-2601
(716) 667-0089
Mailing address
3671 SOUTHWESTERN BLVD, SUITE 213, ORCHARD PARK, NY 14127-1752
(716) 667-2601
(716) 667-0089
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002646
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00607814
—
NY
Enumeration date
08/08/2007
Last updated
01/22/2008
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