Individual
DR. DAVID SAMUEL BEVILACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3673 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1740
(716) 662-8087
Mailing address
S-3673 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127
(716) 662-8087
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
134662
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00854059
—
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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