Healthcare Provider Details

I. General information

NPI: 1962048793
Provider Name (Legal Business Name): DAVID MICHAEL ARMSTRONG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2019
Last Update Date: 09/05/2023
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

273 DIVISION ST
NORTH TONAWANDA NY
14120-4631
US

IV. Provider business mailing address

273 DIVISION ST
NORTH TONAWANDA NY
14120-4631
US

V. Phone/Fax

Practice location:
  • Phone: 716-725-9000
  • Fax:
Mailing address:
  • Phone: 716-725-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number309460
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: