Organization
WNY PEDIATRIC ENDOCRINOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADEZHDA DANILOVICH MD (OWNER)
(585) 201-7112
Entity
Organization
Contact information
Practice address
8203 MAIN ST STE 14, WILLIAMSVILLE, NY 14221-6051
(585) 201-7112
(585) 201-7128
Mailing address
8203 MAIN ST STE 14, WILLIAMSVILLE, NY 14221-6051
(585) 201-7112
(585) 201-7128
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000529154002
BCBS WNY
—
05
—
02852904
—
NY
01
—
1214181
INDEPENDENT HEALTH
—
Enumeration date
10/03/2018
Last updated
03/07/2025
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