Organization
DELAWARE PEDIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDGE SCHENK MD (PARTNER)
(716) 884-0230
Entity
Organization
Contact information
Practice address
2550 DELAWARE AVE, BUFFALO, NY 14216-1721
(716) 884-0230
Mailing address
2550 DELAWARE AVE, BUFFALO, NY 14216-1721
(716) 884-0230
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101753
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00652882
—
NY
05
—
00963722
—
NY
05
—
01029556
—
NY
05
—
01398705
—
NY
05
—
02161773
—
NY
05
—
02952789
—
NY
05
—
03357173
—
NY
Enumeration date
02/16/2012
Last updated
02/16/2012
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