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General NPI Number Information
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NPI Number | 1033694294
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Entity Type | Organization
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Legal Business Name | WNY PEDIATRIC ENDOCRINOLOGY, PLLC
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Dates
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Enumeration Date | 10/03/2018
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 8203 MAIN ST STE 14
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6051
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Country | US
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Telephone | 585-201-7112
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Fax | 585-201-7128
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Provider Business Mailing Address
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Address Line | 8203 MAIN ST STE 14
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6051
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Country | US
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Telephone | 585-201-7112
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Fax | 585-201-7128
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Authorized Official
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Title or Position | OWNER
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Name | NADEZHDA DANILOVICH
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Credential | MD
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Telephone | 585-201-7112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number |
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License Number State |
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