Healthcare Provider Details

I. General information

NPI: 1740423698
Provider Name (Legal Business Name): MEGAN BARNHART MCGREEVY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2009
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

936 DELAWARE AVE
BUFFALO NY
14209-1880
US

IV. Provider business mailing address

30 REDBRICK RD
ORCHARD PARK NY
14127-3940
US

V. Phone/Fax

Practice location:
  • Phone: 716-885-5437
  • Fax:
Mailing address:
  • Phone: 716-573-9550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number279811
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT193072
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberMD442116
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: