Healthcare Provider Details

I. General information

NPI: 1053933788
Provider Name (Legal Business Name): JOYCE MARIE ORILEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2020
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 KENSINGTON AVE STE 110
BUFFALO NY
14215-1436
US

IV. Provider business mailing address

1515 KENSINGTON AVE STE 110
BUFFALO NY
14215-1436
US

V. Phone/Fax

Practice location:
  • Phone: 716-200-4122
  • Fax: 512-559-6419
Mailing address:
  • Phone: 716-463-5400
  • Fax: 512-559-6419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number351926
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: