# EAST AURORA PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447212139
- **Authorized official:** BARBARA J JORDAN (CERTIFIED MEDICAL OFFICE MANAGER)
- **Authorized official phone:** (716) 652-0237

## Contact information

- **Practice address:** 94 OLEAN ST, EAST AURORA, NY 14052-2531
- **Practice address phone:** (716) 652-0237
- **Practice address fax:** (716) 652-0983
- **Mailing address:** 94 OLEAN ST, EAST AURORA, NY 14052-2531
- **Mailing address phone:** (716) 652-0237
- **Mailing address fax:** (716) 652-0983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NY | Yes |

## Other

- **Enumeration date:** 04/06/2006
- **Last updated:** 07/20/2010