Provider Demographics
NPI:1023185584
Name:DOYLE, DAVID B (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:B
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1491 SHERIDAN DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1234
Mailing Address - Country:US
Mailing Address - Phone:716-876-4047
Mailing Address - Fax:716-876-4087
Practice Address - Street 1:1491 SHERIDAN DR
Practice Address - Street 2:SUITE 600
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1234
Practice Address - Country:US
Practice Address - Phone:716-876-4047
Practice Address - Fax:716-876-4087
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1419962088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010048301OtherUNIVERA HEALTHCARE
NY00722798Medicaid
NY000508604001OtherBC OF WNY
NY1900923OtherINDEPENDENT HEALTH
NY00010048301OtherUNIVERA HEALTHCARE
NY00722798Medicaid