Healthcare Provider Details

I. General information

NPI: 1003242355
Provider Name (Legal Business Name): ERIKA M. MALINOWSKI RN NP IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2013
Last Update Date: 09/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 LINWOOD AVE
WILLIAMSVILLE NY
14221-6501
US

IV. Provider business mailing address

40 MAIN ST
HAMBURG NY
14075-4948
US

V. Phone/Fax

Practice location:
  • Phone: 716-626-9016
  • Fax: 716-626-4271
Mailing address:
  • Phone: 716-649-0887
  • Fax: 716-646-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ERIKA M MALINOWSKI
Title or Position: OWNER
Credential: N.P.
Phone: 716-626-9016