Allentown Pediatric And Adolescent Medicine
Pediatrics, Adolescent Medicine in Buffalo, NY. Organization (NPI-2).
NPI number1598729808
StatusActive
Last updated in NPPESSep 9, 2014
Details
- NPI
- 1598729808
- Entity type
- Organization (NPI-2)
- Legal business name
- Allentown Pediatric And Adolescent Medicine
- Organization subpart
- No
- Enumeration date
- Apr 13, 2006
- Last updated
- Sep 9, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | – | – | Yes |
Practice location
560 Franklin StBuffalo, NY 14202-1110
Phone 716-332-4472 · Fax 716-332-4675
Mailing address
560 Franklin StBuffalo, NY 14202-1110
Phone 716-332-4472 · Fax 716-332-4675
Authorized official
Daryl Ehlenfield
President
7163324472
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