Provider Demographics
NPI:1982897260
Name:NORTHTOWN MEDICAL ASSOCIATES, LLP
Entity Type:Organization
Organization Name:NORTHTOWN MEDICAL ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAJEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-639-1111
Mailing Address - Street 1:8750 TRANSIT RD
Mailing Address - Street 2:STE 110
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-2610
Mailing Address - Country:US
Mailing Address - Phone:716-639-1111
Mailing Address - Fax:716-639-1150
Practice Address - Street 1:8750 TRANSIT RD
Practice Address - Street 2:STE 110
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2610
Practice Address - Country:US
Practice Address - Phone:716-639-1111
Practice Address - Fax:716-639-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY136032207R00000X
NY211684207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0917Medicare PIN