Provider Demographics
NPI:1255378493
Name:GENESEE-TRANSIT PEDIATRICS LLP
Entity type:Organization
Organization Name:GENESEE-TRANSIT PEDIATRICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:G
Authorized Official - Last Name:SICKELS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-895-2590
Mailing Address - Street 1:2865 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-3132
Mailing Address - Country:US
Mailing Address - Phone:716-895-2590
Mailing Address - Fax:716-895-8810
Practice Address - Street 1:2865 GENESEE ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-3132
Practice Address - Country:US
Practice Address - Phone:716-895-2590
Practice Address - Fax:716-895-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty