Provider Demographics
NPI:1922184837
Name:WOMEN'S HEALTH OF WESTERN NEW YORK, PC
Entity Type:Organization
Organization Name:WOMEN'S HEALTH OF WESTERN NEW YORK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAHIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAUHDRY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:716-372-2229
Mailing Address - Street 1:908 NIAGARA FALLS BLVD.
Mailing Address - Street 2:SUITE 208
Mailing Address - City:N. TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120
Mailing Address - Country:US
Mailing Address - Phone:716-692-3302
Mailing Address - Fax:716-692-4342
Practice Address - Street 1:130 S. UNION STREET
Practice Address - Street 2:SUITE 7
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760
Practice Address - Country:US
Practice Address - Phone:716-372-2229
Practice Address - Fax:716-692-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209139207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA1072Medicare PIN