Healthcare Provider Details

I. General information

NPI: 1346915311
Provider Name (Legal Business Name): AILEEN DOYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3176 ABBOTT RD STE 500
ORCHARD PARK NY
14127-1069
US

IV. Provider business mailing address

3176 ABBOTT RD STE 500
ORCHARD PARK NY
14127-1069
US

V. Phone/Fax

Practice location:
  • Phone: 716-822-2117
  • Fax: 716-822-8165
Mailing address:
  • Phone: 716-822-2117
  • Fax: 716-822-8165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: