Robert F Divencenzo, DO | |
5300 Military Rd, Lewiston, NY 14092-1903 | |
(716) 298-3782 | |
(716) 692-4342 |
Full Name | Robert F Divencenzo |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 36 Years |
Location | 5300 Military Rd, Lewiston, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467450833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 188929-1 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Gouverneur Hospital | Gouverneur, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delphi Hospitalist Services Llc | 5395819478 | 43 |
Entity Name | Delphi Hospitalist Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922270420 PECOS PAC ID: 5395819478 Enrollment ID: O20080807000352 |
Entity Name | Delphi Healthcare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003075029 PECOS PAC ID: 9537229661 Enrollment ID: O20081119000839 |
Entity Name | Flh Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215174644 PECOS PAC ID: 6507922358 Enrollment ID: O20090304000165 |
Mailing Address | Practice Location Address |
---|---|
Robert F Divencenzo, DO 908 Niagara Falls Blvd, Suite 208, N Tonawanda, NY 14120-2019 Ph: (716) 692-3302 | Robert F Divencenzo, DO 5300 Military Rd, Lewiston, NY 14092-1903 Ph: (716) 298-3782 |
Dr. Abhinay Boddu Reddy, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Mt. St. Mary's Hospital, 5300 Military Drive, Lewiston, NY 14092 Phone: 716-297-4800 | |
Dr. Norman O Fiorica, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5320 Military Rd Ste 105, Lewiston, NY 14092 Phone: 716-297-0001 Fax: 716-297-3213 | |
Dr. Michael Sly, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 Military Rd, Lewiston, NY 14092 Phone: 716-297-4800 | |
Dr. Arif Suhale Syed, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5300 Military Rd, Lewiston, NY 14092 Phone: 716-298-2171 Fax: 716-298-2291 | |
Dr. Philip M Sauvageau, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5320 Military Rd, Lewiston, NY 14092 Phone: 716-297-7542 Fax: 716-298-1680 | |
James P Moore, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4500 Lower River Rd, Lewiston, NY 14092 Phone: 716-754-4998 Fax: 716-754-4998 |