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PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY LLC NPI 1518023613


NPI Information

NPI: 1518023613
Provider Name: PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

CLIA Number: 33D0988623

Address:
936 DELAWARE AVE
SUITE 100
BUFFALO, NY
ZIP 14209
Phone: (716) 885-5437
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PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC is a pediatric cardiology pediatrics in Buffalo, NY. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC NPI is 1518023613. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

936 DELAWARE AVE
SUITE 100
BUFFALO, NY
ZIP 14209-804
Phone: (716) 885-5437

The provider's authorized official is Deborah A Chapman .
The authorized official title is Practice Administrator and has the following contact phone number (716) 885-5437.

The CLIA number assigned to this NPI record is 33D0988623 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2006 and was last updated on 5/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BA0147OTHERNEW YORKMEDICARE PTAN

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

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