Bevilacqua, David Samuel
Bevilacqua, David Samuel is an sole proprietor health care provider with primary practice located at 3673 Southwestern Blvd , Orchard Park NY 14127-1740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bevilacqua, David Samuel can be contacted via phone (716) 662-8087.Contact Information
Primary practice address
3673 Southwestern Blvd
Orchard Park NY 14127-1740
Phone: (716) 662-8087
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 134662 | New York |
Profile Details
| NPI number | 1437169547 |
|---|---|
| LBN Legal business name | Bevilacqua, David Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437169547 | NPPES |
| New York | MEDICAID | 00854059 |
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