Healthcare Provider Details

I. General information

NPI: 1013879675
Provider Name (Legal Business Name): MADISON MARIE ORLANDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 KENMORE AVE
BUFFALO NY
14223-2911
US

IV. Provider business mailing address

28 NINA TER
WEST SENECA NY
14224-4469
US

V. Phone/Fax

Practice location:
  • Phone: 716-322-0010
  • Fax:
Mailing address:
  • Phone: 716-548-0518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: