LEGACY GYNECOLOGY PLLC NPI 1598370975

NPI Information

NPI: 1598370975
Provider Name: LEGACY GYNECOLOGY PLLC
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

CLIA Number: 33D2196173

Address:
136 MAPLE RD
AMHERST, NY
ZIP 14221
Phone: (716) 815-2400
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LEGACY GYNECOLOGY PLLC is a gynecology obstetrics gynecology in Amherst, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee LEGACY GYNECOLOGY PLLC NPI is 1598370975. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

136 MAPLE RD
AMHERST, NY
ZIP 14221-922
Phone: (716) 815-2400

The provider's authorized official is Kristen Smyers .
The authorized official title is Md/owner and has the following contact phone number (716) 815-2400.

The CLIA number assigned to this NPI record is 33D2196173 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2020 and was last updated on 9/11/2020.

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	207VG0400X	Obstetrics & Gynecology	Gynecology			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	03351159	MEDICAID	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: 5/5/2024

NPI Synchronization or Removal

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