Healthcare Provider Details

I. General information

NPI: 1750326914
Provider Name (Legal Business Name): AMY ALLEN CASE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY ALLEN MCDONALD MD

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 12/18/2020
Certification Date: 12/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ELM AND CARLTON STREETS
BUFFALO NY
14263-0001
US

IV. Provider business mailing address

ELM AND CARLTON ST
BUFFALO NY
14263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 716-845-2300
  • Fax: 716-845-8223
Mailing address:
  • Phone: 716-845-2300
  • Fax: 716-845-8223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number229766
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number229766
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: