Eating Disorders, Llc
Pediatric Adolescent Medicine
Eating Disorders, Llc is a Buffalo, New York based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
2157 Main St, Buffalo, New York - 14214-2648. They can be contacted on phone at
716-862-1611 and fax number 716-692-4342.
NPI number (Unique professional ID) for Eating Disorders, Llc is
1336179795 which was assigned by NPPES on 03 Jul, 2006 and it was last updated on 15 Oct, 2007.
Eating Disorders, Llc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Eating Disorders, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Eating Disorders, Llc |
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Business Address:
Eating Disorders, Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2157 Main St
Buffalo, NY, 14214-2648
United States |
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| Phone Number : | 716-862-1611 |
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| Fax Number : | 716-692-4342 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1336179795 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Jul, 2006 |
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| Last Updated On : | 15 Oct, 2007 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Carolyn Dukarm |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 716-862-1611 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eating Disorders, Llc are as mentioned. Primary taxonomy code for Eating Disorders, Llc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Eating Disorders, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 02527746 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 908 Niagara Falls Blvd, Suite 208
North Tonawanda, NY, 14120-2019
United States |
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| Phone Number : | 716-692-3302 |
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| Fax Number : | 716-692-4342 |
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Business Location:
Patients can refer following map for directions to
Eating Disorders, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.