Dr. Nathaniel Mark Ivanick
Pulmonary Disease Cardiothoracic Vascular Surgeon
Elm And Carlton Streets
Buffalo
, New York 14263-0001
Dr. Nathaniel Mark Ivanick
Pulmonary Disease Cardiothoracic Vascular Surgeon
Elm And Carlton Streets
Buffalo
, New York 14263-0001
(716) 845-2300
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About
Features
Specialties
- Pulmonary Disease
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Nathaniel Mark Ivanick
- Elm And Carlton Streets
- Buffalo, NY
- Zip : 14263-0001
- Phone : (716) 845-2300
Second Address
- Dr. Nathaniel Mark Ivanick
- Elm And Carlton Streets
- Buffalo, NY
- Zip : 14263-0001
- Phone : (716) 845-2300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RP1001X | Pulmonary Disease | 298396 | NY |
| N | 207RP1001X | Pulmonary Disease | C154270 | CA |
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 298396 | NY |
National Provider Identifier
| NPI | 1063623098 |
|---|---|
| Provider Name | Dr. Nathaniel Mark Ivanick |
| First Address | Buffalo, NY 14263-0001 |
| Second Address | Buffalo, NY 14263-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2007 |
| Last Update Date | 21/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 05711793 | (05) | NY |
| 298396 | NYS LICENSE (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.