National Provider Identifier
Nicole Marie Favre, MD
Nicole Marie Favre, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 884-5102.
Profile Overview
- NPI
- 1780371104
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 18, 2023
- Last Updated
- April 18, 2023
Practice Location
- 1237 Delaware Ave
- Buffalo, NY 14209-1435
Phone: (716) 884-5102
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1780371104
- Entity Type
- Individual
- Last Name
- Favre
- First Name
- Nicole
- Middle Name
- Marie
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1237 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-1435
- Mailing Country
- US
- Mailing Phone
- (716) 884-5102
- Practice Street Address
- 1237 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1435
- Practice Country
- US
- Practice Phone
- (716) 884-5102
- Enumeration Date
- April 18, 2023
- Last Updated
- April 18, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 26, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)