Healthcare Provider Details

I. General information

NPI: 1649031139
Provider Name (Legal Business Name): MOLLY HIGGINS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 E 3RD ST
DUNKIRK NY
14048-2239
US

IV. Provider business mailing address

2495 ELMWOOD AVE
KENMORE NY
14217-2222
US

V. Phone/Fax

Practice location:
  • Phone: 716-363-6050
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number728548
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF40588801
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: