Provider Demographics
NPI:1821062720
Name:VONA, DAVID P (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:VONA
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 1:12655 SENECA RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:NY
Mailing Address - Zip Code:14081-9750
Mailing Address - Country:US
Mailing Address - Phone:716-345-6690
Mailing Address - Fax:716-951-8150
Practice Address - Street 1:12655 SENECA ST.
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:NY
Practice Address - Zip Code:14081
Practice Address - Country:US
Practice Address - Phone:716-345-6690
Practice Address - Fax:716-951-8150
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004811213ES0131X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01248517Medicaid
NY01248517Medicaid
NYJ400003399Medicare PIN