1013088517 NPI number — DR. MICHAEL F HONEYMAN D.O.

Table of content: DR. MICHAEL F HONEYMAN D.O. (NPI 1013088517)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013088517 NPI number — DR. MICHAEL F HONEYMAN D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HONEYMAN
Provider First Name:
MICHAEL
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013088517
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1221 NIAGARA FALLS BLVD
Provider Second Line Business Mailing Address:
BOULEVARD MALL
Provider Business Mailing Address City Name:
AMHERST
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14226-1104
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-833-7766
Provider Business Mailing Address Fax Number:
716-833-4520

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1221 NIAGARA FALLS BLVD
Provider Second Line Business Practice Location Address:
BOULEVARD MALL
Provider Business Practice Location Address City Name:
AMHERST
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14226-1104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-833-7766
Provider Business Practice Location Address Fax Number:
716-833-4520
Provider Enumeration Date:
11/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152WC0802X , with the licence number:  VUT0050065 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 01710512 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com