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Individual

DAVID AVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3671 SOUTHWESTERN BLVD, SUITE 107, ORCHARD PARK, NY 14127-1752
(716) 667-2062
(716) 667-2063
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
199233
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01735400
NY
Enumeration date
04/26/2006
Last updated
04/30/2012
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