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NPI Code Detail

MEDICARE: NIAGARA PULMONARY AND SLEEP MEDICINE, P.C.

MEDICARE: NIAGARA PULMONARY AND SLEEP MEDICINE, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173F00000XSleep Specialist (PhD)191202NY
2207RP1001XPulmonary Disease Physician

General Provider Information

NPI Number : 1336113810
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIAGARA PULMONARY AND SLEEP MEDICINE, P.C.
Provider Business Mailing Address
First Line : 6941 ELAINE DR
Second Line : SUITE 2
City : NIAGARA FALLS
State : NY
Zip : 14304-2877
Country : US
Telephone Number : 716-298-8133
Fax Number : 716-298-8136
Provider Business Practice Location Address
First Line : 6941 ELAINE DR
Second Line : SUITE 2
City : NIAGARA FALLS
State : NY
Zip : 14304-2877
Country : US
Telephone Number : 716-298-8133
Fax Number : 716-298-8136
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDWARD VENTRESCA
Credential : M.D.
Telephone Number : 716-298-8133
Provider Enumeration Date : 02/14/2006
Last Update Date : 06/13/2011

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Directions to “NIAGARA PULMONARY AND SLEEP MEDICINE, P.C. ” Practice Location

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