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Organization
PARADIGM FAMILY HEALTH NP PLLC
Active
Organization
PARADIGM FAMILY HEALTH NP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS ALLEN PEARCE FNP-BC (CEO/FAMILY NURSE PRACTITIONER)
(716) 324-5255
Entity
Organization
Contact information
Practice address
4721 TRANSIT RD STE B, DEPEW, NY 14043-4898
(716) 324-5255
Mailing address
4721 TRANSIT RD STE B, DEPEW, NY 14043-4898
(716) 324-5255
(716) 671-9079
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
339168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144623778
—
NY
Enumeration date
08/20/2018
Last updated
02/06/2025
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