National Provider Identifier
Michelle Dolores Penque, MD
Michelle Dolores Penque, MD is listed in the NPPES registry with a primary specialty of Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, NY and a listed phone number of (716) 323-0260.
Profile Overview
- NPI
- 1174571152
- Provider Type
- Individual
- Primary Specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- Enumeration Date
- May 04, 2006
- Last Updated
- January 20, 2021
Practice Location
- 1001 Main St Fl 4
- Buffalo, NY 14203-1009
Phone: (716) 323-0260
Mailing Address
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Specialties
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
Full Record
- NPI
- 1174571152
- Entity Type
- Individual
- Last Name
- Penque
- First Name
- Michelle
- Middle Name
- Dolores
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 323-0260
- Mailing Fax
- (716) 323-0294
- Practice Street Address
- 1001 Main St Fl 4
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 323-0260
- Practice Fax
- (716) 323-0294
- Enumeration Date
- May 04, 2006
- Last Updated
- January 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Emergency Medicine (Pediatrics) Physician (2080P0204X)
- Other Identifiers
- 0018522750001 (PA), 040426001461 (Fidelis), 000524862001 (Bc/Bs), 3990839 (Iha), 00010310201 (Univera), 01776672 (NY)