ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE NPI 1598729808

NPI Information

NPI: 1598729808
Provider Name: ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 33D1009783

Address:
505 DELAWARE AVE
BUFFALO, NY
ZIP 14202
Phone: (716) 332-4472
Get Directions

ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE is an adolescent medicine pediatrics in Buffalo, NY. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. ALLENTOWN PEDIATRIC AND ADOLESCENT MEDICINE NPI is 1598729808. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 DELAWARE AVE
BUFFALO, NY
ZIP 14202-309
Phone: (716) 332-4472
Fax: (716) 332-4474

The provider's authorized official is Daryl Ehlenfield .
The authorized official title is President and has the following contact phone number (716) 332-4472.

The CLIA number assigned to this NPI record is 33D1009783 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/13/2006 and was last updated on 7/27/2014.

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	2080A0000X	Pediatrics	Adolescent Medicine			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	AA1490	MEDICARE ID-TYPE UNSPECIFIED
2	02374692	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: 4/28/2024

NPI Synchronization or Removal

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