Provider Demographics
NPI:1710938618
Name:BOYD, NORINE C (CPNP)
Entity Type:Individual
Prefix:
First Name:NORINE
Middle Name:C
Last Name:BOYD
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5800 BIG TREE RD
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-4116
Mailing Address - Country:US
Mailing Address - Phone:716-662-7337
Mailing Address - Fax:716-662-0641
Practice Address - Street 1:1001 MAIN ST FL 4
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1009
Practice Address - Country:US
Practice Address - Phone:716-323-0300
Practice Address - Fax:716-323-0599
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF3806001208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0005603373OtherBLUE CROSS BLUE SHIELD
NY9511976OtherINDEPENDENT HEALTH
NY00021043202OtherUNIVERA HEALTHCARE