Provider Demographics
NPI:1356320345
Name:LINDFIELD, VIVIAN LESLIE (MD)
Entity Type:Individual
Prefix:MS
First Name:VIVIAN
Middle Name:LESLIE
Last Name:LINDFIELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 PARK CLUB LANE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5258
Mailing Address - Country:US
Mailing Address - Phone:716-632-7465
Mailing Address - Fax:716-632-7464
Practice Address - Street 1:180 PARK CLUB LANE, SUITE 100
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-5258
Practice Address - Country:US
Practice Address - Phone:716-632-7465
Practice Address - Fax:716-632-7464
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001986-1208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY198215OtherGHI
NY161000580OtherEMPIRE
NY000527431003OtherHEALTH NOW
NY02504772Medicaid
NY161000580OtherNORTH AMERICAN PREFERRED
NY00026456702OtherUNIVERA
NY1790976OtherIHA
NY00026456702OtherUNIVERA
NY02504772Medicaid