Reddington, Madonna Marie
Reddington, Madonna Marie is an individual health care provider with primary practice located at 3900 N Buffalo St , Orchard Park NY 14127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Reddington, Madonna Marie can be contacted via phone (716) 656-4988.Contact Information
Primary practice address
3900 N Buffalo St
Orchard Park NY 14127
Phone: (716) 656-4988
Fax: (716) 817-1719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F336724-1 | New York |
Profile Details
| NPI number | 1245519800 |
|---|---|
| LBN Legal business name | Reddington, Madonna Marie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2011 |
| Last updated | Nov 28th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245519800 | NPPES |
| New York | MEDICAID | 01465154 |
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