| Pediatric Psychology & Medicine Of Western New York, Pllc | |
|
2625 Harlem Rd Suite 205 Cheektowaga NY 14225-4031 | |
| (716) 837-3415 | |
| Not Available |
| Full Name | Pediatric Psychology & Medicine Of Western New York, Pllc |
|---|---|
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 2625 Harlem Rd, Cheektowaga, New York |
| Authorized Official Name and Position | Ted Andrews (PHYSICIAN) |
| Authorized Official Contact | 7168373415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Psychology & Medicine Of Western New York, Pllc 112 Bondcroft Dr Amherst NY 14226-3427 Ph: (716) 837-3415 | Pediatric Psychology & Medicine Of Western New York, Pllc 2625 Harlem Rd Suite 205 Cheektowaga NY 14225-4031 Ph: (716) 837-3415 |
| NPI Number | 1588118954 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588118954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 012466 (New York) | Secondary |
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 282479 (New York) | Primary |
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