Individual
NICOLE NIEDZWIEDZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3725 N BUFFALO ST, SUITE A, ORCHARD PARK, NY 14127-1853
(716) 662-2300
(716) 662-2057
Mailing address
3725 N BUFFALO ST, SUITE A, ORCHARD PARK, NY 14127-1853
(716) 662-2300
(716) 662-2057
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
381923
NY
Other
Enumeration date
08/24/2007
Last updated
03/02/2010
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