Lillie, Madeline A

Lillie, Madeline A is an individual health care provider with primary practice located at 500 Corporate Pkwy Suite 100, Amherst NY 14226-1263. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Lillie, Madeline A can be contacted via phone (716) 631-0380.

Contact Information

Primary practice address
500 Corporate Pkwy Suite 100 Amherst NY 14226-1263
Fax: (716) 631-3229
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 145777 New York

Profile Details

NPI number 1962482711
LBN Legal business name Lillie, Madeline A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962482711 NPPES
New York MEDICAID 00614475

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