Etta L Storm is a Pediatrics in Orchard Park, New York. Etta L Storm practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Etta L Storm is 1487762258. The last update date is 2007-07-08.
Etta L Storm's current location address is 3085 Southwestern Blvd, Orchard Park, New York. You can contact this provider via phone number 7166741292 and fax number 7166774314. The mailing address for Etta L Storm is 3085 Southwestern Blvd, Orchard Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Etta L Storm |
|---|---|
| Address | 3085 Southwestern Blvd, Orchard Park, New York |
| Phone Number | 7166741292 |
| Fax Number | 7166774314 |
| Sole Proprietor | N |
| Credentials | NP IN PEDI |
NPI Number Detail
| NPI Number | 1487762258 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3085 Southwestern Blvd |
|---|---|
| City | Orchard Park |
| State | New York (NY) |
| Post Code | 141271233 |
| Phone Number | 7166741292 |
| Fax Number | 7166774314 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | F380276-1 |
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Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9511811 | INDEPENDENT HEALTH | ||
| 26500201 | UNIVERA HEALTHCARE | ||
| 560930001 | BCBS OF WESTERN NEW YORK |
Post Comment/ Review Below
What is the unique identifier code issued to Etta L Storm by the Centers for Medicare & Medicaid Services?
The Etta L Storm has been assigned the NPI (National Provider Identifier) 1487762258. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Etta L Storm located?
The Etta L Storm is located at 3085 Southwestern Blvd, Orchard Park, NY 141271233.
What is Etta L Storm's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Etta L Storm is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
On what date did the Etta L Storm receive the assignment of its 1487762258 from the Centers for Medicare & Medicaid Services?
The Etta L Storm was issued its 1487762258 by the Centers for Medicare & Medicaid Services on 2006-08-29.
When was the Etta L Storm's information last updated?
The Etta L Storm's information was last updated on 2007-07-08.