National Provider Identifier
Samuel E Divincenzo
Samuel E Divincenzo is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 884-5797.
Profile Overview
- NPI
- 1366923419
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- August 27, 2018
- Last Updated
- August 27, 2018
Practice Location
- 1280 Main St
- Buffalo, NY 14209-1912
Phone: (716) 884-5797
Mailing Address
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1366923419
- Entity Type
- Individual
- Last Name
- Divincenzo
- First Name
- Samuel
- Middle Name
- E
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 1280 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1912
- Practice Country
- US
- Practice Phone
- (716) 884-5797
- Practice Fax
- (716) 882-0293
- Enumeration Date
- August 27, 2018
- Last Updated
- August 27, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)