Nita K. Divan, M.D., P.C.

LBN: Premier Family Physicians, P.C.
Nita K. Divan, M.D., P.C. is an health care organization with primary practice located at 1150 Youngs Rd Suite 203, Williamsville NY 14221-8053. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Premier Family Physicians, P.C. can be contacted via phone (716) 688-7344, or through Divan, Nita K via phone (716) 688-7344.

Contact Information

Primary practice address
1150 Youngs Rd Suite 203 Williamsville NY 14221-8053
Fax: (716) 688-7345
Website:
Authorized official contact:
Name: Divan, Nita K Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1730365073
LBN Legal business name Premier Family Physicians, P.C.
DBA Doing business as Nita K. Divan, M.D., P.C.
Authorized official Divan, Nita K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2008
Last updated Dec 19th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730365073 NPPES
New York MEDICAID 01657107

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