Robert F Divencenzo, D.O.

NPI #1467450833 in Lewiston, New York

Provider Information

NPI Number: 1467450833
Entity Type: Individual
Name: Robert F Divencenzo, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jul 11, 2005
Last Updated: Nov 8, 2007

Practice Location

Address: 5300 MILITARY RD
City: Lewiston
State: New York
ZIP Code: 14092-1903
Phone: (716) 298-3782

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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