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WESTERN NEW YORK IIMMEDIATE MEDICAL CARE LLC NPI 1801074539


NPI Information

NPI: 1801074539
Provider Name: WESTERN NEW YORK IIMMEDIATE MEDICAL CARE, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 33D1078005

Address:
2099 NIAGARA FALLS BLVD
AMHERST, NY
ZIP 14228
Phone: (716) 564-2273
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WESTERN NEW YORK IIMMEDIATE MEDICAL CARE, LLC is an emergency medicine in Amherst, NY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WESTERN NEW YORK IIMMEDIATE MEDICAL CARE, LLC NPI is 1801074539. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2099 NIAGARA FALLS BLVD
AMHERST, NY
ZIP 14228-518
Phone: (716) 564-2273
Fax: (716) 564-2272

The provider's authorized official is Gregory Daniel .
The authorized official title is Owner and has the following contact phone number (716) 564-2273.

The CLIA number assigned to this NPI record is 33D1078005 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2008 and was last updated on 2/5/2008.


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
1207P00000XEmergency Medicine159276NEW YORKYes

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
1BA0584MEDICARE PINNEW 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

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