CEDAR PEDIATRICS PLLC NPI 1639685464

NPI Information

NPI: 1639685464
Provider Name: CEDAR PEDIATRICS PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D2142025

Address:
1010 MAIN ST
BUFFALO, NY
ZIP 14202
Phone: (716) 570-0524
Get Directions

CEDAR PEDIATRICS PLLC is a primary care clinic center in Buffalo, NY. CEDAR PEDIATRICS PLLC NPI is 1639685464. The provider is registered as an organization entity type.

The provider's business location address is:

1010 MAIN ST
BUFFALO, NY
ZIP 14202-102
Phone: (716) 570-0524

The provider's authorized official is Stephanie Fretz .
The authorized official title is Owner and has the following contact phone number (716) 570-0524.

The CLIA number assigned to this NPI record is 33D2142025 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2017 and was last updated on 12/15/2017.

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	261QP2300X	Clinic/Center	Primary Care	200115-1	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	01650600	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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