Provider Demographics
NPI:1609213412
Name:OCQUE, REBECCA ZIPPORAH (MD)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:ZIPPORAH
Last Name:OCQUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:ZIPPORAH
Other - Last Name:GRAYSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 NORTHPOINTE PKWY., STE. 130
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-6801
Mailing Address - Country:US
Mailing Address - Phone:716-529-3990
Mailing Address - Fax:716-529-3992
Practice Address - Street 1:565 ABBOTT ROAD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220
Practice Address - Country:US
Practice Address - Phone:716-828-2402
Practice Address - Fax:716-529-3992
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447767207ZP0102X
NY279429207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology