Organization · Type 2 NPI

Eating Disorders, LLC

Pediatric Adolescent Medicine Physician · Buffalo, NY

NPI number 1336179795 Active

Practice location

2157 Main St
Buffalo, NY 14214-2648

Fax (716) 692-4342

Mailing address

908 Niagara Falls Blvd, Suite 208
North Tonawanda, NY 14120-2019

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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About NPI 1336179795

Eating Disorders, LLC's National Provider Identifier is 1336179795, issued on Jul 3, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Buffalo, NY. The record was last updated on Oct 15, 2007.