Healthcare Provider Details

I. General information

NPI: 1528099850
Provider Name (Legal Business Name): DONNA M. EHRINGER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

359 GRIDER ST
BUFFALO NY
14215-3016
US

IV. Provider business mailing address

525 WASHINGTON ST MANAGED CARE DEPARTMENT
BUFFALO NY
14203-1711
US

V. Phone/Fax

Practice location:
  • Phone: 716-895-7715
  • Fax: 716-893-1692
Mailing address:
  • Phone: 716-856-4494
  • Fax: 716-842-1277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number244788
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: