Organization
DEVINCENTIS,DPM-DEVINCENTIS,DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY FRANCIS DEVINCENTIS SR. DPM (PRESIDENT)
(716) 662-1003
Entity
Organization
Contact information
Practice address
4200 N BUFFALO RD, ORCHARD PARK, NY 14127-2415
(716) 662-1003
(716) 667-1315
Mailing address
4200 N BUFFALO RD, ORCHARD PARK, NY 14127-2415
(716) 662-1003
(716) 667-1315
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N002275-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0924440002
DME MAC JURISDICTION A
NY
Enumeration date
06/09/2008
Last updated
06/17/2008
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