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General NPI Number Information
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NPI Number | 1902860729
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Entity Type | Individual
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Provider Name | KIMBERLY TRINIDAD M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 02/28/2013
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Provider Practice Location Address
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Address Line | 200 STERLING DR SUITE 300
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1577
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Country | US
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Telephone | 716-218-1020
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Fax | 716-677-4038
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Provider Business Mailing Address
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Address Line | 78 NEW AMSTERDAM AVE
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City | BUFFALO
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State | NY
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Zip | 14216-3307
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Country | US
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Telephone | 716-876-0284
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 189349
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License Number State | NY
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