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Contact Information

EDEN PRIMARY CARE
8274 N MAIN ST
EDEN, NY14057-1104
 Phone: 716-725-8114
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for EDEN PRIMARY CARE · (Female)

NPI Number 1154071934
Status Active
Credentials
Entity Individual
Enumeration date 03/25/2022
Last updated 04/01/2026 - About 2 months ago
Sole proprietor 1 Not specified
Identifiers
  • NY Other 301295 NYS MEDICAL LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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