National Provider Identifier
Joseph Anthony De Vincentis, DPM
Joseph Anthony De Vincentis, DPM is listed in the NPPES registry with a primary specialty of Podiatrist in Orchard Park, NY and a listed phone number of (716) 677-2601.
Profile Overview
- NPI
- 1851315634
- Provider Type
- Individual
- Primary Specialty
- Podiatrist
- Enumeration Date
- July 26, 2006
- Last Updated
- July 27, 2018
Practice Location
- 3065 Southwestern Blvd Ste 200
- Orchard Park, NY 14127
Phone: (716) 677-2601
Mailing Address
- 3065 Southwestern Blvd Ste 200
- Orchard Park, NY 14127-1239
Specialties
- Podiatrist (213E00000X)
Full Record
- NPI
- 1851315634
- Entity Type
- Individual
- Last Name
- De Vincentis
- First Name
- Joseph
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Credential
- DPM
- Mailing Street Address
- 3065 Southwestern Blvd Ste 200
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1239
- Mailing Country
- US
- Mailing Phone
- (716) 677-2601
- Mailing Fax
- (716) 677-0340
- Practice Street Address
- 3065 Southwestern Blvd Ste 200
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127
- Practice Country
- US
- Practice Phone
- (716) 677-2601
- Practice Fax
- (716) 677-0340
- Enumeration Date
- July 26, 2006
- Last Updated
- July 27, 2018
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X)
- Other Identifiers
- 000507384013 (NY, BCBS), 8905253 (NY, Independent Health), 000507384012 (NY, BCBS), 000507384015 (NY, BCBS), 00607814 (NY), 00010250307 (NY, Univera), 000507384014 (NY, BCBS)