National Provider Identifier
Robert F Divencenzo, D.O.
Robert F Divencenzo, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Lewiston, NY and a listed phone number of (716) 298-3782.
Profile Overview
- NPI
- 1467450833
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- July 11, 2005
- Last Updated
- November 08, 2007
Practice Location
- 5300 Military RD
- Lewiston, NY 14092-1903
Phone: (716) 298-3782
Mailing Address
- 908 Niagara Falls Blvd
- Suite 208
- N Tonawanda, NY 14120-2019
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1467450833
- Entity Type
- Individual
- Last Name
- Divencenzo
- First Name
- Robert
- Middle Name
- F
- Credential
- D.O.
- Mailing Street Address
- 908 Niagara Falls Blvd
- Mailing Address Line 2
- Suite 208
- Mailing City
- N Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 5300 Military RD
- Practice City
- Lewiston
- Practice State
- NY
- Practice ZIP Code
- 14092-1903
- Practice Country
- US
- Practice Phone
- (716) 298-3782
- Practice Fax
- (716) 692-4342
- Enumeration Date
- July 11, 2005
- Last Updated
- November 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)