PHYSICIANS PRACTICE OF EASTERN NIAGARA PC
NPI 1053733915
Surgery in Lockport, NY

Active since January 13, 2014
15 ELIZABETH DR, LOCKPORT, NY 14094(716) 692-3302(716) 213-0935 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physicians Practice Of Eastern Niagara Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS PRACTICE OF EASTERN NIAGARA PC (NPI 1053733915) is a healthcare organization registered as a surgery in Lockport, New York and active in the NPI registry since January 2014. The organization lists Michael Ickowski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053733915
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NamePHYSICIANS PRACTICE OF EASTERN NIAGARA PC
Location Address15 ELIZABETH DRLockport, NY 14094-5226
Mailing Address908 Niagara Falls Blvd, Suite 208North Tonawanda, NY 14120-2019 · (716) 692-2160 · Fax (716) 213-0935
Fax(716) 213-0935
Organization SubpartNo
Authorized OfficialMichael IckowskiCfo · (716) 514-5501
Enumeration DateJanuary 13, 2014
NPI 1053733915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X
15 ELIZABETH DR, Lockport, NY 14094

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
15 ELIZABETH DR
LOCKPORT, NY 14094
Nurse Practitioner (Adult Health)
15 ELIZABETH DR
LOCKPORT, NY 14094
Surgery
15 ELIZABETH DR
LOCKPORT, NY 14094
Nurse Practitioner (Adult Health)
15 ELIZABETH DR
LOCKPORT, NY 14094
Surgery
15 ELIZABETH DR
LOCKPORT, NY 14094
Surgery
15 ELIZABETH DR
LOCKPORT, NY 14094
Psychologist (Clinical)
15 ELIZABETH DR
LOCKPORT, NY 14094
Speech-Language Pathologist
15 ELIZABETH DR
LOCKPORT, NY 14094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physicians Practice Of Eastern Niagara PC's NPI number?

The NPI number for Physicians Practice Of Eastern Niagara PC is 1053733915. It was assigned to this organization in the NPPES registry on January 13, 2014.

Where is Physicians Practice Of Eastern Niagara PC located?

Physicians Practice Of Eastern Niagara PC is located at 15 Elizabeth Dr, Lockport, NY 14094. The listed phone number is (716) 692-3302.

What is Physicians Practice Of Eastern Niagara PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Physicians Practice Of Eastern Niagara PC was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.