PREMIER FAMILY PHYSICIANS P.C. NPI 1730365073

NPI Information

  • NPI: 1730365073
  • Provider Name: PREMIER FAMILY PHYSICIANS, P.C.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Former Legal Business Name: NITA K. DIVAN, M.D., P.C.
  • Address: 1150 YOUNGS RD
    SUITE 203
    WILLIAMSVILLE, NY
    ZIP 14221
  • Phone: (716) 688-7344

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NPI Details

PREMIER FAMILY PHYSICIANS, P.C. is a family medicine in Williamsville, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PREMIER FAMILY PHYSICIANS, P.C. NPI is 1730365073. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Nita K. Divan, M.d., P.c..

The provider's business location address is:

1150 YOUNGS RD
SUITE 203
WILLIAMSVILLE, NY
ZIP 14221-053
Phone: (716) 688-7344
Fax: (716) 688-7345

The provider's authorized official is Nita K Divan .
The authorized official title is Owner and has the following contact phone number (716) 688-7344.

The enumeration date for this NPI number is 1/17/2008 and was last updated on 12/19/2009.

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
1207Q00000XFamily MedicineYes

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
1BA0766MEDICARE PINNEW YORK
201657107MEDICAIDNEW 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: 11/21/2025

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