Provider Demographics
NPI:1265687651
Name:DIPASQUA, AIMEE DORA (MD)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:DORA
Last Name:DIPASQUA
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Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:227 THORN AVE
Mailing Address - Street 2:BOX 631
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2600
Mailing Address - Country:US
Mailing Address - Phone:716-662-2040
Mailing Address - Fax:716-662-0019
Practice Address - Street 1:MILLARD FILLMORE HOPSITAL, 3 GATES CIRCLE
Practice Address - Street 2:8TH FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209
Practice Address - Country:US
Practice Address - Phone:716-887-5800
Practice Address - Fax:716-887-5801
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2012-02-16
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Provider Licenses
StateLicense IDTaxonomies
NY2489152084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry