Healthcare Provider Details

I. General information

NPI: 1669368510
Provider Name (Legal Business Name): EDWARD BRIGGS RNFA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 10TH ST
NIAGARA FALLS NY
14301-1813
US

IV. Provider business mailing address

1670 WAYSIDE DR
LEWISTON NY
14092-9715
US

V. Phone/Fax

Practice location:
  • Phone: 716-278-4000
  • Fax:
Mailing address:
  • Phone: 716-201-8103
  • Fax: 716-201-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number734648
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: