Healthcare Provider Details

I. General information

NPI: 1447257399
Provider Name (Legal Business Name): JOSHUA MICHAEL USEN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 01/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 SWEET HOME RD SUITE 12
AMHERST NY
14228-2784
US

IV. Provider business mailing address

1416 SWEET HOME RD SUITE 12
AMHERST NY
14228-2784
US

V. Phone/Fax

Practice location:
  • Phone: 716-636-7800
  • Fax: 716-636-7801
Mailing address:
  • Phone: 716-636-7800
  • Fax: 716-636-7801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number211359
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: