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NPI Code Detail

MEDICARE: DR. JOSEPH NASCA D.P.M.

MEDICARE: DR. JOSEPH NASCA D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213EP1101XPrimary Podiatric Medicine PodiatristN003878-1NY
2213ES0131XFoot Surgery PodiatristN003878-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000500803001OTHERNYCOMUNITY BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300020074901OTHERNYUNIVERA

General Provider Information

NPI Number : 1023170719
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH NASCA D.P.M.
Provider Business Mailing Address
First Line : 369 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-833-0225
Fax Number : 716-833-2793
Provider Business Practice Location Address
First Line : 369 KENMORE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14223-2861
Country : US
Telephone Number : 716-833-0225
Fax Number : 716-833-2793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2006
Last Update Date : 11/28/2011

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