Individual
DR. MICHAEL D AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 884-1325
(716) 837-0799
Mailing address
929 BRIGHTON RD, TONAWANDA, NY 14150-8113
(716) 837-1500
(716) 837-0799
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010250601
UNIVERA
NY
01
—
000500064001
BLUE CROSS/BLUE SHIELD
NY
05
—
00762881
—
NY
01
—
0079077
GHI
NY
01
—
050110000141
FIDELIS
NY
01
—
8903879
INDEPENDENT HEALTH
NY
Enumeration date
05/03/2006
Last updated
07/08/2007
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