Organization
PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A CHAPMAN (PRACTICE ADMINISTRATOR)
(716) 389-3268
Entity
Organization
Contact information
Practice address
936 DELAWARE AVE, SUITE 100, BUFFALO, NY 14209-1804
(716) 389-3268
Mailing address
936 DELAWARE AVE, SUITE 100, BUFFALO, NY 14209-1804
(716) 389-3268
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA0147
MEDICARE PTAN
NY
Enumeration date
12/31/2006
Last updated
03/06/2025
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