Provider Demographics
NPI:1376650382
Name:FLORIO, WILLIAM T (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:FLORIO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 SANDPIPER CT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1060
Mailing Address - Country:US
Mailing Address - Phone:716-859-2954
Mailing Address - Fax:
Practice Address - Street 1:16 SANDPIPER CT
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-1060
Practice Address - Country:US
Practice Address - Phone:716-859-2954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1536522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE12811Medicare UPIN