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Contact Information

JOSEPH A DE VINCENTIS, DPM
3065 SOUTHWESTERN BLVD STE 200
ORCHARD PARK, NY14127
 Phone: 716-677-2601
 Fax: 716-677-0340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOSEPH A DE VINCENTIS · (Male)

NPI Number 1851315634
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/26/2006
Last updated 07/27/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # N002646
  • NY Medicaid 00607814
  • NY Other 000507384012 BCBS
  • NY Other 000507384013 BCBS
  • NY Other 000507384014 BCBS
  • NY Other 000507384015 BCBS
  • NY Other 8905253 INDEPENDENT HEALTH
  • NY Other 00010250307 UNIVERA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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