National Provider Identifier
Philip R Niswander, M.D.
Philip R Niswander, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Williamsville, NY and a listed phone number of (716) 634-4441.
Profile Overview
- NPI
- 1306844550
- Provider Type
- Individual
- Primary Specialty
- Ophthalmology Physician
- Enumeration Date
- July 12, 2005
- Last Updated
- July 22, 2021
Practice Location
- 40 N Union RD
- Niswander Eye Center
- Williamsville, NY 14221-5339
Phone: (716) 634-4441
Mailing Address
- 40 N Union RD
- Williamsville, NY 14221-5339
Specialties
- Ophthalmology Physician (207W00000X)
Full Record
- NPI
- 1306844550
- Entity Type
- Individual
- Last Name
- Niswander
- First Name
- Philip
- Middle Name
- R
- Credential
- M.D.
- Mailing Street Address
- 40 N Union RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5339
- Mailing Country
- US
- Mailing Phone
- (716) 634-4441
- Mailing Fax
- (716) 634-3174
- Practice Street Address
- 40 N Union RD
- Practice Address Line 2
- Niswander Eye Center
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5339
- Practice Country
- US
- Practice Phone
- (716) 634-4441
- Practice Fax
- (716) 634-3174
- Enumeration Date
- July 12, 2005
- Last Updated
- July 22, 2021
- Deactivation Date
- March 16, 2006
- Reactivation Date
- March 21, 2006
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Ophthalmology Physician (207W00000X)
- Other Identifiers
- 00766289 (NY)