Individual
DR. EDWARD NIEMIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 ALBERTA DR, AMHERST, NY 14226-1814
(716) 833-5100
(716) 833-5102
Mailing address
315 ALBERTA DR, AMHERST, NY 14226-1814
(716) 833-5100
(716) 833-5102
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
153301-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020404601
UNIVERA PROVIDER ID NUMBE
NY
01
—
000500719001
BCBSWNY PROVIDER ID NUMBE
NY
01
—
1002746
IHA PROVIDER ID NUMBER
NY
Enumeration date
03/23/2007
Last updated
07/06/2010
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