Individual
DIANA VAKANTE-JANKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Mailing address
3675 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1732
(716) 972-0279
(716) 972-0273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
217457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00025096703
UNIVERA
NY
01
—
00526115002
BC/BS
NY
01
—
0111089
IHA
NY
05
—
02082593
—
NY
01
—
486957
WELLCARE
NY
Enumeration date
01/16/2006
Last updated
07/26/2014
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