Dr. Michelle Dolores Penque
MD | Pediatric Emergency Medicine | Female
Dr. Michelle Dolores Penque, MD is a Buffalo, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Michelle Dolores Penque is
1001 Main St Fl 4, Buffalo, New York - 14203-1009. She can be contacted on phone at
716-323-0260 and fax number 716-323-0294.
Dr. Michelle Dolores Penque is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Michelle Dolores Penque is
1174571152 which was assigned by NPPES on 04 May, 2006 and it was last updated on 20 Jan, 2021.
Dr. Michelle Dolores Penque license number is
200803 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in New York.
Dr. Michelle Dolores Penque has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Michelle Dolores Penque basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Michelle Dolores Penque |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Michelle Dolores Penque 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 : | 1001 Main St Fl 4
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0260 |
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| Fax Number : | 716-323-0294 |
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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 : | 1174571152 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 May, 2006 |
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| Last Updated On : | 20 Jan, 2021 |
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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 Dr. Michelle Dolores Penque are as mentioned. Primary taxonomy code for Dr. Michelle Dolores Penque, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 200803 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michelle Dolores Penque such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0018522750001 | MEDICAID | PA | |
| 040426001461 | Other | | FIDELIS |
| 00010310201 | Other | | UNIVERA |
| 01776672 | MEDICAID | NY | |
| 000524862001 | Other | | BC/BS |
| 3990839 | Other | | IHA |
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 : | 1001 Main St Fl 5
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0260 |
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| Fax Number : | 716-323-0294 |
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Business Location:
Patients can refer following map for directions to
Dr. Michelle Dolores Penque practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.