Individual
ERNESTO A DIAZ-ORDAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
180 PARK CLUB LN, SUITE 200, WILLIAMSVILLE, NY 14221-5263
(716) 634-7350
(716) 634-7656
Mailing address
199 PARK CLUB LN STE 500, WILLIAMSVILLE, NY 14221-5269
(716) 845-1300
(716) 322-3372
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
160661
NY
207YX0901X
Otology & Neurotology Physician
160661
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020006003
UNIVERA PROVIDER ID
NY
01
—
000511816002
BCBS PROVIDER ID
NY
05
—
01442699
—
NY
01
—
1008002
IHA PROVIDER ID
NY
Enumeration date
06/04/2006
Last updated
04/27/2026
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