Provider Demographics
NPI:1679598874
Name:ORSINI, ANTHONY L (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:L
Last Name:ORSINI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 NORTH AVE.
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580
Mailing Address - Country:US
Mailing Address - Phone:585-872-1729
Mailing Address - Fax:585-872-6357
Practice Address - Street 1:45 NORTH AVE
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-3054
Practice Address - Country:US
Practice Address - Phone:585-872-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002080213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00419925Medicaid
NYN002080OtherSTATE LICENSE
NY16246BMedicare PIN
NYT90591Medicare UPIN
NYT90591Medicare UPIN