PEDIATRIC ENT ASSOCIATES PLLC NPI 1609065390

NPI Information

NPI: 1609065390
Provider Name: PEDIATRIC ENT ASSOCIATES, PLLC
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
3580 SHERIDAN DR
AMHERST, NY
ZIP 14226
Phone: (716) 362-9730
Get Directions

PEDIATRIC ENT ASSOCIATES, PLLC is a pediatrics nurse practitioner in Amherst, NY. PEDIATRIC ENT ASSOCIATES, PLLC NPI is 1609065390. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3580 SHERIDAN DR
AMHERST, NY
ZIP 14226-645
Phone: (716) 362-9730
Fax: (716) 362-9729

The provider's authorized official is Linda Susan Brodsky .
The authorized official title is Director and has the following contact phone number (716) 362-9730.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 6/27/2008.

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
1	363A00000X	Physician Assistant		008898-1	NEW YORK	No
2	363A00000X	Physician Assistant		010010-1	NEW YORK	No
3	363LP0200X	Nurse Practitioner	Pediatrics	276298	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	=========	MEDICAID	NEW YORK
2	=========	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: 11/14/2023

NPI Synchronization or Removal

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