Eating Disorders, LLC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

EATING DISORDERS, LLC

Practice address

2157 Main St
Buffalo, NY 14214-2648

Phone

(716) 862-1611

Fax

(716) 692-4342

NPI assigned

Jul 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Dukarm, MD

Title

President

Phone

(716) 862-1611

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1336179795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 NIAGARA FALLS BLVD",
            "address_2": "SUITE 208",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202019",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142142648",
            "telephone_number": "716-862-1611",
            "fax_number": "716-692-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DUKARM",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-862-1611",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02527746",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Easterday, LPN
• Eastern Great Lakes Pathology PC
• Eastern Niagara Radiology & Nuclear Medicine Associates, PC
• Rachel Eastlack
• Julia Easton
• Christina Eaton, RN
• Elizabeth Anne Eaton, PA
• Melissa Eaton
• Justin Adam Eberhardt, CRPA PEER SPECIALIST
• Thomas Eberhardt, LPN

• Pediatric Adolescent Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.