National Provider Identifier

William Frederick Bevilacqua, MD

William Frederick Bevilacqua, MD is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician in West Seneca, NY and a listed phone number of (716) 671-8393.

NPI 1306080619West Seneca, NYVascular Surgery Physician

Profile Overview

NPI
1306080619
Provider Type
Individual
Primary Specialty
Vascular Surgery Physician
Enumeration Date
April 30, 2009
Last Updated
May 21, 2025

Practice Location

  • 1900 Ridge RD Ste 209
  • West Seneca, NY 14224-3332

Phone: (716) 671-8393

Specialties

  • Vascular Surgery Physician (2086S0129X)
Full Record
NPI
1306080619
Entity Type
Individual
Last Name
Bevilacqua
First Name
William
Middle Name
Frederick
Name Prefix
Dr.
Credential
MD
Mailing Street Address
1900 Ridge RD Ste 209
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3332
Mailing Country
US
Mailing Phone
(716) 671-8393
Mailing Fax
(716) 671-8398
Practice Street Address
1900 Ridge RD Ste 209
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3332
Practice Country
US
Practice Phone
(716) 671-8393
Practice Fax
(716) 671-8398
Enumeration Date
April 30, 2009
Last Updated
May 21, 2025
Sex
Male
Sole Proprietor
No
Certification Date
May 21, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Vascular Surgery Physician (2086S0129X)