MOBILE PHYSICIAN SERVICES PLLC NPI 1194132415

NPI Information

NPI: 1194132415
Provider Name: MOBILE PHYSICIAN SERVICES PLLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
640 ELLICOTT ST
SUITE 105
BUFFALO, NY
ZIP 14203
Phone: (716) 218-7169
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MOBILE PHYSICIAN SERVICES PLLC is a primary care nurse practitioner in Buffalo, NY. MOBILE PHYSICIAN SERVICES PLLC NPI is 1194132415. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 ELLICOTT ST
SUITE 105
BUFFALO, NY
ZIP 14203-245
Phone: (716) 218-7169

The provider's authorized official is James Collins .
The authorized official title is Md and has the following contact phone number (716) 218-7169.

The enumeration date for this NPI number is 7/18/2014 and was last updated on 7/18/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	134888	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D78450	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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