MEDICARE: VIVIAN L. LINDFIELD, MD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	253905	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225280217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIVIAN L. LINDFIELD, MD, PC

Provider Business Mailing Address
First Line	:	180 PARK CLUB LANE, SUITE 100
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5258
Country	:	US
Telephone Number	:	716-632-7465
Fax Number	:	716-632-7464

Provider Business Practice Location Address
First Line	:	180 PARK CLUB LANE, SUITE 100
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-5258
Country	:	US
Telephone Number	:	716-632-7465
Fax Number	:	716-632-7464

Authorized Official
Title or Position	:	FOUNDER, CEO
Name	:	VIVIAN L. LINDFIELD
Credential	:	M.D.
Telephone Number	:	716-632-7465

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/29/2020

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