National Provider Identifier

Devincentis DPM Devincentis DPM PC

Devincentis DPM Devincentis DPM PC is listed in the NPPES registry with a primary specialty of Podiatrist in Buffalo, NY and a listed phone number of (716) 897-3720.

NPI 1659562205Buffalo, NYPodiatrist

Source: public NPPES record, last updated June 30, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1659562205
Provider Type
Organization
Primary Specialty
Podiatrist
Enumeration Date
August 08, 2007
Last Updated
June 30, 2008

Practice Location

  • 1094 Lovejoy St
  • Buffalo, NY 14206-1127

Phone: (716) 897-3720

Authorized Official

Name
Mr. Anthony F Devincentis Jr.
Title
President
Credentials
DPM
Phone
(716) 897-3720

Specialties

  • Podiatrist (213E00000X)

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Full Record
NPI
1659562205
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Devincentis DPM Devincentis DPM PC
Mailing Street Address
1094 Lovejoy St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14206-1127
Mailing Country
US
Mailing Phone
(716) 897-3720
Mailing Fax
(716) 897-3918
Practice Street Address
1094 Lovejoy St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14206-1127
Practice Country
US
Practice Phone
(716) 897-3720
Practice Fax
(716) 897-3918
Enumeration Date
August 08, 2007
Last Updated
June 30, 2008
Authorized Official Last Name
Devincentis
Authorized Official First Name
Anthony
Authorized Official Middle Name
F
Authorized Official Title
President
Authorized Official Phone
(716) 897-3720
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
Authorized Official Name Suffix Text
Jr.
Authorized Official Credential Text
DPM
Taxonomy Group 1
193200000X Multi-Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X)
Other Identifiers
00607805 (NY)