National Provider Identifier

Vicki Ip, MD

Vicki Ip, MD is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 875-2904.

NPI 1215193214Buffalo, NYPediatrics Physician

Profile Overview

NPI
1215193214
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
July 30, 2008
Last Updated
October 04, 2024

Practice Location

  • 155 Lawn Ave
  • Buffalo, NY 14207-1816

Phone: (716) 875-2904

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1215193214
Entity Type
Individual
Last Name
Ip
First Name
Vicki
Name Prefix
Dr.
Credential
MD
Mailing Street Address
155 Lawn Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1816
Mailing Country
US
Mailing Phone
(716) 875-2904
Mailing Fax
(716) 875-6717
Practice Street Address
155 Lawn Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1816
Practice Country
US
Practice Phone
(716) 875-2904
Practice Fax
(716) 875-6717
Enumeration Date
July 30, 2008
Last Updated
October 04, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 04, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)
Other Identifiers
1894155 (NY)