Diaz-Ordaz, Ernesto A
Diaz-Ordaz, Ernesto A is an individual health care provider with primary practice located at 180 Park Club Ln Suite 200, Williamsville NY 14221-5263. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Diaz-Ordaz, Ernesto A can be contacted via phone (716) 634-7350.Contact Information
Primary practice address
180 Park Club Ln Suite 200
Williamsville NY 14221-5263
Phone: (716) 634-7350
Fax: (716) 634-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 160661 | New York |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 160661 | New York |
Profile Details
| NPI number | 1114965738 |
|---|---|
| LBN Legal business name | Diaz-Ordaz, Ernesto A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2006 |
| Last updated | Jun 24th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114965738 | NPPES |
| New York | MEDICAID | 01442699 | |
| New York | Other | 00020006003 | |
| New York | Other | 1008002 | |
| New York | Other | 000511816002 |
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