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NPI Code Detail

MEDICARE: MS. VIVIAN LESLIE LINDFIELD M.D.

MEDICARE:  MS. VIVIAN LESLIE LINDFIELD  M.D.
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
1208600000XSurgery Physician001986-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1198215OTHERNYGHI
2161000580OTHERNYEMPIRE
3000527431003OTHERNYHEALTH NOW
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5161000580OTHERNYNORTH AMERICAN PREFERRED
600026456702OTHERNYUNIVERA
71790976OTHERNYIHA

General Provider Information

NPI Number : 1356320345
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIVIAN LESLIE LINDFIELD M.D.
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 09/24/2020

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Directions to “ MS. VIVIAN LESLIE LINDFIELD M.D.” Practice Location

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