Healthcare Provider Details

I. General information

NPI: 1922184837
Provider Name (Legal Business Name): WOMEN'S HEALTH OF WESTERN NEW YORK, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 S. UNION STREET SUITE 7
OLEAN NY
14760
US

IV. Provider business mailing address

908 NIAGARA FALLS BLVD. SUITE 208
N. TONAWANDA NY
14120
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-2229
  • Fax: 716-692-4342
Mailing address:
  • Phone: 716-692-3302
  • Fax: 716-692-4342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number209139
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: TAHIR A CHAUHDRY
Title or Position: OWNER
Credential: D.O.
Phone: 716-372-2229