MEDICARE: NORA MEANEY-ELMAN MD

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	207Q00000X	Family Medicine Physician	1676321	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0103760	OTHER	NY	INDEPENDENT HEALTH
2	000510390001	OTHER	NY	BLUE CROSS WNY

General Provider Information

NPI Number	:	1891880902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORA MEANEY-ELMAN MD

Provider Business Mailing Address
First Line	:	8171 SHERIDAN DR
Second Line	:	STE 600
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-6002
Country	:	US
Telephone Number	:	716-839-7107
Fax Number	:	716-839-5803

Provider Business Practice Location Address
First Line	:	8171 SHERIDAN DR
Second Line	:	STE 600
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-6002
Country	:	US
Telephone Number	:	716-839-7107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	03/10/2020

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