Provider Demographics
NPI:1952309544
Name:DEVER, DAVID P (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:DEVER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT. 441
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:716-844-5600
Mailing Address - Fax:716-844-5750
Practice Address - Street 1:995 SENATOR KEATING BLVD.
Practice Address - Street 2:BLDG. E STE 330
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618-2775
Practice Address - Country:US
Practice Address - Phone:585-232-2980
Practice Address - Fax:585-232-6522
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2017-04-18
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Provider Licenses
StateLicense IDTaxonomies
NY146560208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1990211OtherIHA
NM41123000044OtherFIDELIS
NM73110OtherGHI
NY912143Medicaid
NYMD476AOtherPREFERED CARE
NY332089OtherWELL CARE
NY912908001OtherBLUE CROSS BLUE SHIELD
NY20945001OtherUNIVERA
NY91290801OtherHEALTH NOW
NM41123000044OtherFIDELIS
NM41123000044OtherFIDELIS
NY10583DMedicare ID - Type Unspecified