National Provider Identifier

Nicole Niedzwiedz

Nicole Niedzwiedz is listed in the NPPES registry with a primary specialty of Pediatric Adolescent Medicine Physician in Orchard Park, NY and a listed phone number of (716) 662-2300.

NPI 1205029097Orchard Park, NYPediatric Adolescent Medicine Physician

Profile Overview

NPI
1205029097
Provider Type
Individual
Primary Specialty
Pediatric Adolescent Medicine Physician
Enumeration Date
August 24, 2007
Last Updated
March 02, 2010

Practice Location

  • 3725 N Buffalo St
  • Suite A
  • Orchard Park, NY 14127-1853

Phone: (716) 662-2300

Specialties

  • Pediatric Adolescent Medicine Physician (2080A0000X)
Full Record
NPI
1205029097
Entity Type
Individual
Last Name
Niedzwiedz
First Name
Nicole
Mailing Street Address
3725 N Buffalo St
Mailing Address Line 2
Suite A
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1853
Mailing Country
US
Mailing Phone
(716) 662-2300
Mailing Fax
(716) 662-2057
Practice Street Address
3725 N Buffalo St
Practice Address Line 2
Suite A
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1853
Practice Country
US
Practice Phone
(716) 662-2300
Practice Fax
(716) 662-2057
Enumeration Date
August 24, 2007
Last Updated
March 02, 2010
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Adolescent Medicine Physician (2080A0000X)