person
Dr. Michelle Dolores Penque, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, New York
NPI 1174571152

Michelle Dolores Penque is a Pediatric Emergency Medicine (Pediatrics) Physician based in Buffalo, NY and is specialized in Pediatric Emergency Medicine. Michelle Dolores Penque practices in Buffalo, NY and has the professional credentials of MD. The NPI Number for Michelle Dolores Penque is 1174571152 and holds a License No. 200803 (New York).

The current practice location address for Michelle Dolores Penque is 1001 Main St Fl 4, Buffalo, NY and can be reached out via phone at 716-323-0260 and via fax at 716-323-0294.

Location: 1001 Main St Fl 4, Buffalo, NY, 14203-1009
person
Provider Profile Details
NPI Number
1174571152
Provider Name
Michelle Dolores Penque
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1001 Main St Fl 4, Buffalo, NY, 14203-1009
Phone Number
716-323-0260
Fax Number
716-323-0294
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0018522750001 05 PA
040426001461 01 FIDELIS
000524862001 01 BC/BS
3990839 01 IHA
00010310201 01 UNIVERA
01776672 05 NY
institution
Provider Business Practice Location Address Details
Address
1001 Main St Fl 4
City
State
Zip
14203-1009
Phone Number
716-323-0260
Fax Number
716-323-0294
person
Provider Business Mailing Address Details
Address
1001 Main St Fl 4
City
State
Zip
14203-1009
Phone Number
716-323-0260
Fax Number
716-323-0294
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
License No.
200803 (New York)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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