National Provider Identifier

Nicole Lynn Grichen

Nicole Lynn Grichen is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 674-2404.

NPI 1356178644Buffalo, NYPediatrics Physician

Profile Overview

NPI
1356178644
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
September 19, 2024
Last Updated
September 19, 2024

Practice Location

  • 3705 Seneca St
  • Buffalo, NY 14224-3452

Phone: (716) 674-2404

Mailing Address

  • 284 Fredericka St
  • North Tonawanda, NY 14120-2630

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1356178644
Entity Type
Individual
Last Name
Grichen
First Name
Nicole
Middle Name
Lynn
Mailing Street Address
284 Fredericka St
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-2630
Mailing Country
US
Mailing Phone
(716) 523-5843
Practice Street Address
3705 Seneca St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14224-3452
Practice Country
US
Practice Phone
(716) 674-2404
Enumeration Date
September 19, 2024
Last Updated
September 19, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
September 19, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)