Provider Demographics
NPI:1447257399
Name:USEN, JOSHUA MICHAEL (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MICHAEL
Last Name:USEN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1416 SWEET HOME RD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2784
Mailing Address - Country:US
Mailing Address - Phone:716-636-7800
Mailing Address - Fax:716-636-7801
Practice Address - Street 1:1416 SWEET HOME RD
Practice Address - Street 2:SUITE 12
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2784
Practice Address - Country:US
Practice Address - Phone:716-636-7800
Practice Address - Fax:716-636-7801
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2011-01-20
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Provider Licenses
StateLicense IDTaxonomies
NY211359207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH14749Medicare UPIN
NYDD2717Medicare ID - Type Unspecified