Organization
PEDIATRIC ENT ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA SUSAN BRODSKY M.D, (DIRECTOR)
(716) 362-9730
Entity
Organization
Contact information
Practice address
3580 SHERIDAN DR, AMHERST, NY 14226-1645
(716) 362-9730
(716) 362-9729
Mailing address
651 DELAWARE AVE, BUFFALO, NY 14202-1051
(716) 362-9729
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
008898-1
NY
363A00000X
Physician Assistant
010010-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
276298
NY
Other
Enumeration date
10/18/2007
Last updated
06/27/2008
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