National Provider Identifier

David Samuel Bevilacqua, MD

David Samuel Bevilacqua, MD is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Orchard Park, NY and a listed phone number of (716) 662-8087.

NPI 1437169547Orchard Park, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1437169547
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
August 09, 2006
Last Updated
July 08, 2007

Practice Location

  • 3673 Southwestern Blvd
  • Orchard Park, NY 14127-1740

Phone: (716) 662-8087

Mailing Address

  • S-3673 Southwestern Blvd
  • Orchard Park, NY 14127

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
Full Record
NPI
1437169547
Entity Type
Individual
Last Name
Bevilacqua
First Name
David
Middle Name
Samuel
Name Prefix
Dr.
Credential
MD
Mailing Street Address
S-3673 Southwestern Blvd
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 662-8087
Practice Street Address
3673 Southwestern Blvd
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1740
Practice Country
US
Practice Phone
(716) 662-8087
Enumeration Date
August 09, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X)
Other Identifiers
00854059 (NY)