Eating Disorders, Llc

NPI 1336179795 - Pediatrics - 2080A0000X

NPI Details
NPI 1336179795
Enumeration Date 07/03/2006
Last Updated 10/15/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CAROLYN CAROLYN
Position PRESIDENT
Phone (716) 862-1611
Fax (716) 692-4342
Practice Location
2157 MAIN ST
BUFFALO NY, 14214-2648, US
Phone (716) 862-1611
Fax (716) 692-4342
Business Location
908 NIAGARA FALLS BLVD
SUITE 208
NORTH TONAWANDA NY, 14120-2019, US
Phone (716) 692-3302
Fax (716) 692-4342
Toxanomy
Taxonomy Code 2080A0000X
License State
License Number
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According to our database, Eating Disorders, Llc NPI is 1336179795, taxonomy code is 2080A0000X Eating Disorders, Llc physically located at 2157 Main St, Buffalo NY, 14214-2648. NPI Number 1033115704 has the healthcare provider type.

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1336179795 NPI number is provided on an as is basis without warranty of any kind. 1336179795 is maintained by the National Plan & Provider Enumeration System. The contents of Eating Disorders, Llc are for informational purposes only.