Provider Demographics
NPI:1689948515
Name:NORTHTOWNS ORTHOPEDICS, PC
Entity Type:Organization
Organization Name:NORTHTOWNS ORTHOPEDICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FARWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-636-1470
Mailing Address - Street 1:36 N UNION RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5383
Mailing Address - Country:US
Mailing Address - Phone:716-636-1470
Mailing Address - Fax:888-886-2563
Practice Address - Street 1:2075 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-1432
Practice Address - Country:US
Practice Address - Phone:716-636-1470
Practice Address - Fax:716-636-1423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-23
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCF7263OtherMEDICARE RAILROAD PIN
NYCF7263OtherMEDICARE RAILROAD PIN