National Provider Identifier
Nita K Divan, MD
Nita K Divan, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 688-7344.
Profile Overview
- NPI
- 1386608339
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 14, 2006
- Last Updated
- December 19, 2009
Practice Location
- 1150 Youngs RD
- Suite 203
- Williamsville, NY 14221-8053
Phone: (716) 688-7344
Mailing Address
- PO Box 1528
- Williamsville, NY 14231-1528
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1386608339
- Entity Type
- Individual
- Last Name
- Divan
- First Name
- Nita
- Middle Name
- K
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- PO Box 1528
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14231-1528
- Mailing Country
- US
- Mailing Phone
- (716) 688-7344
- Mailing Fax
- (716) 688-7345
- Practice Street Address
- 1150 Youngs RD
- Practice Address Line 2
- Suite 203
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8053
- Practice Country
- US
- Practice Phone
- (716) 688-7344
- Practice Fax
- (716) 688-7345
- Enumeration Date
- April 14, 2006
- Last Updated
- December 19, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01657107 (NY)