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Individual

DR. FREDERICK M OCCHINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
517 SUNSET DR, HAMBURG, NY 14075-4231
(716) 646-2590
(716) 646-2593
Mailing address
517 SUNSET DR, HAMBURG, NY 14075-4231
(716) 646-2590
(716) 646-2593

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
108941
NY
207Q00000X
Family Medicine Physician
OS11880
FL
207QA0401X
Addiction Medicine (Family Medicine) Physician
OS11880
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00593724
NY
Enumeration date
06/23/2006
Last updated
01/11/2019
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