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NPI Code Detail

MEDICARE: DR. ORSOLINA SEPE M.D.

MEDICARE: DR. ORSOLINA SEPE M.D.
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
12084P0800XPsychiatry Physician185601NY

General Provider Information

NPI Number : 1831116565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ORSOLINA SEPE M.D.
Provider Business Mailing Address
First Line : 829 N FOREST RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-4422
Country : US
Telephone Number : 716-634-1247
Fax Number :
Provider Business Practice Location Address
First Line : 400 FOREST AVE
Second Line : BUFFALO PSYCHIATRIC CENTER
City : BUFFALO
State : NY
Zip : 14213-1207
Country : US
Telephone Number : 716-885-2261
Fax Number : 716-885-4852
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 11/20/2007

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