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General NPI Number Information
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NPI Number | 1043251903
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Entity Type | Individual
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Provider Name | DEOLINDO OCAMPOS MD
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Gender | Male
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 310 STERLING DR SUITE 100
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1569
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Country | US
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Telephone | 716-677-6800
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Fax | 716-634-1930
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Provider Business Mailing Address
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Address Line | 38 HAWTHORNE CT
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1912
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Country | US
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Telephone | 716-662-5458
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 117719
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License Number State | NY
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