Provider Demographics
NPI:1912973629
Name:HARVEY, NISHIKANT S (MD)
Entity Type:Individual
Prefix:
First Name:NISHIKANT
Middle Name:S
Last Name:HARVEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NISHI
Other - Middle Name:S
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1167
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14231-1167
Mailing Address - Country:US
Mailing Address - Phone:716-795-2840
Mailing Address - Fax:
Practice Address - Street 1:1000 YOUNGS RD STE 103
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2644
Practice Address - Country:US
Practice Address - Phone:888-999-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2229431207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02694140Medicaid
NY02694140Medicaid
I46996Medicare UPIN