Healthcare Provider Details

I. General information

NPI: 1487877817
Provider Name (Legal Business Name): WESTERN NEW YORK EAR, NOSE & THROAT, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3670 SOUTH BENZING SUITE C
ORCHARD PARK NY
14127
US

IV. Provider business mailing address

3670 SOUTH BENZING SUITE C
ORCHARD PARK NY
14127
US

V. Phone/Fax

Practice location:
  • Phone: 716-675-5711
  • Fax: 716-675-1358
Mailing address:
  • Phone: 716-675-5711
  • Fax: 716-675-1358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number156731
License Number StateNY

VIII. Authorized Official

Name: DR. NATALKA DARIA STACHIW
Title or Position: OWNER
Credential: M.D.
Phone: 716-675-5711