Provider Demographics
NPI:1568561314
Name:PARMINGTON, MARTHA JAME (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:JAME
Last Name:PARMINGTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4511 HARLEM RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-3822
Mailing Address - Country:US
Mailing Address - Phone:716-839-6720
Mailing Address - Fax:716-839-6740
Practice Address - Street 1:219 BRYANT ST
Practice Address - Street 2:GENERAL PEDIATRIC DIVISION
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7288
Practice Address - Fax:716-888-3966
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY177863208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000510732004OtherBC/BS
NY00010134401OtherUNIVERA
NY080407000101OtherFIDELIS
NY1203746OtherIHA
NY040426002227OtherFIDELIS
NY01150247Medicaid
NY0007124300001OtherPA MEDICAID
NY1203746OtherIHA
E87599Medicare UPIN