Individual
MR. JOHN M AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2047 CLINTON STREET, BUFFALO, NY 14206
(716) 827-0100
(716) 825-1381
Mailing address
2047 CLINTON STREET, BUFFALO, NY 14206
(716) 827-0100
(716) 825-1381
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N003211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010250001
UNIRERA
—
01
—
000500084005
BLUE CROSS
—
01
—
0544160001
NHIC DME MAC JURISDICTION
NY
01
—
480016754
MEDICARE RAILROAD
—
01
—
79081
GHI
—
01
—
8903859
INDEPENDENT HEALTH
—
Enumeration date
09/20/2006
Last updated
07/19/2010
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