<Unavail>

LBN: Olivia Smith-Blackwell Md Pc
<Unavail> is an health care organization with primary practice located at 533 Meadow Dr #2, North Tonawanda NY 14120-2835. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Olivia Smith-Blackwell Md Pc can be contacted via phone (716) 693-4600, or through Smith-Blackwell, Olivia via phone (716) 693-4600.

Contact Information

Primary practice address
533 Meadow Dr #2 North Tonawanda NY 14120-2835
Phone: (716) 693-4600
Fax: (716) 693-4807
Website:
Map and Directions
Authorized official contact:
Name: Smith-Blackwell, Olivia Doctor of Medicine (MD)
Phone: (716) 693-4600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1609802867
LBN Legal business name Olivia Smith-Blackwell Md Pc
DBA Doing business as <Unavail>
Authorized official Smith-Blackwell, Olivia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Jan 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609802867 NPPES
New York MEDICAID 02632800

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