1902327521 NPI number — JANA MARILYN MEDVES DOCTORATE OF AUDIOLO

Table of content: JANA MARILYN MEDVES DOCTORATE OF AUDIOLO (NPI 1902327521)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902327521 NPI number — JANA MARILYN MEDVES DOCTORATE OF AUDIOLO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEDVES
Provider First Name:
JANA
Provider Middle Name:
MARILYN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DOCTORATE OF AUDIOLO
Provider Gender Code:
F

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:
1902327521
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001 MAIN STREET 3RD FLOOR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-323-6030
Provider Business Mailing Address Fax Number:
716-323-6706

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2900 DELAWARE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENMORE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-871-9883
Provider Business Practice Location Address Fax Number:
716-871-9887
Provider Enumeration Date:
07/05/2017

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: 231H00000X , with the licence number:  002793-1 , 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)





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