National Provider Identifier
Nicole A Myers, DO
Nicole A Myers, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 898-8612.
Profile Overview
- NPI
- 1669975918
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 13, 2018
- Last Updated
- April 26, 2024
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-8612
Mailing Address
- 77 Goodell St
- Ste 240
- Buffalo, NY 14203-1243
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1669975918
- Entity Type
- Individual
- Last Name
- Myers
- First Name
- Nicole
- Middle Name
- A
- Credential
- DO
- Provider Other Last Name
- Baruch
- Provider Other First Name
- Nicole
- Provider Other Middle Name
- A
- Provider Other Credential Text
- DO
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 77 Goodell St
- Mailing Address Line 2
- Ste 240
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1243
- Mailing Country
- US
- Mailing Phone
- (716) 645-9694
- Mailing Fax
- (716) 845-6699
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-8612
- Practice Fax
- (716) 898-5719
- Enumeration Date
- March 13, 2018
- Last Updated
- April 26, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 07641830 (NY)