Individual
FARIDA BARODAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD FACA
Contact information
Practice address
2950 ELMWOOD AVENUE, KENMORE MERCY HOSPITAL, KENMORE, NY 14217
(716) 447-6100
Mailing address
2333 ELMWOOD AVENUE, STE 2, KENMORE, NY 14217-2646
(716) 874-1098
(716) 874-9616
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1259701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011177002
UNIVERA
NY
01
—
000507789001
BLUE CROSS
NY
05
—
00716569
—
NY
01
—
2008171
INDEPENDENT HEALTH
—
Enumeration date
04/25/2006
Last updated
04/07/2011
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