National Provider Identifier

Nicole Marie Riedy, D.O.

Nicole Marie Riedy, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Williamsville, NY and a listed phone number of (716) 634-5410.

NPI 1730410762Williamsville, NYInternal Medicine Physician

Profile Overview

NPI
1730410762
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
January 14, 2010
Last Updated
August 28, 2012

Practice Location

  • 1835 Maple RD
  • Williamsville, NY 14221-2780

Phone: (716) 634-5410

Mailing Address

  • 56 Caspian Ct
  • Amherst, NY 14228-1654

Specialties

  • Internal Medicine Physician (207R00000X)
  • Pediatrics Physician (208000000X)
Full Record
NPI
1730410762
Entity Type
Individual
Last Name
Riedy
First Name
Nicole
Middle Name
Marie
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
56 Caspian Ct
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1654
Mailing Country
US
Mailing Phone
(716) 861-3537
Practice Street Address
1835 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-2780
Practice Country
US
Practice Phone
(716) 634-5410
Practice Fax
(716) 634-0430
Enumeration Date
January 14, 2010
Last Updated
August 28, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X), Pediatrics Physician (208000000X)