Team Excellence Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TEAM EXCELLENCE HEALTH

Practice address

1502 Niagara St Apt 604
Buffalo, NY 14213-1182

Phone

(716) 402-8899

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Enaame L Farrell, MD

Title

Owner/Provider

Phone

(716) 402-8899

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543363200000",
    "number": "1568932945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 NIAGARA ST APT 604",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131182",
            "telephone_number": "716-402-8899",
            "fax_number": "716-604-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 NIAGARA ST APT 604",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142131182",
            "telephone_number": "716-402-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM EXCELLENCE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ENAAME",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "716-402-8899",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syntyia La'Tierra Taylor, NP
• Tia Taylor
• Fahim Tazwar, MD
• Te Builders LLC
• Deborah J. Teal
• Leslie Tebo, LMSW
• Alexis Marie Tedesco, MA, MHC
• John James Tedesco, M.S., R.D., CDN
• Rebecca Tedesco
• Elizabeth Teel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.