Individual
DR. COLLEEN A MATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2924 MAIN ST, BUFFALO, NY 14214-1720
(716) 837-0995
(716) 837-1203
Mailing address
8205 MAIN ST STE 10, WILLIAMSVILLE, NY 14221-6054
(716) 539-0789
(716) 250-9090
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
194429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010113101
UNIVERA HEALTHCARE
NY
01
—
000523597001
BLUE CROSS BLUE SHIELD
NY
05
—
01559897
—
NY
01
—
1207139
INDEPENDENT HEALTH
NY
Enumeration date
01/31/2006
Last updated
02/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us