Provider Demographics
NPI:1629134721
Name:ORIE, JOSEPH DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:DANIEL
Last Name:ORIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 DELAWARE AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1880
Mailing Address - Country:US
Mailing Address - Phone:716-885-5437
Mailing Address - Fax:
Practice Address - Street 1:936 DELAWARE AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1880
Practice Address - Country:US
Practice Address - Phone:716-885-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-31
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1970682080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00010131404OtherUNIVERA
NY01524625Medicaid
NY000523418006OtherCOMMUNITY BLUE
NY10109490OtherFIDELIS
NY5306318OtherINDEPENDENT HEALTH
NY10109490OtherFIDELIS