Provider Demographics
NPI:1194713693
Name:OBERTEAN, HOPE (NP)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:
Last Name:OBERTEAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 WENDE RD
Mailing Address - Street 2:
Mailing Address - City:ALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14004-9717
Mailing Address - Country:US
Mailing Address - Phone:716-937-4000
Mailing Address - Fax:716-937-4244
Practice Address - Street 1:3040 WENDE RD
Practice Address - Street 2:
Practice Address - City:ALDEN
Practice Address - State:NY
Practice Address - Zip Code:14004
Practice Address - Country:US
Practice Address - Phone:716-937-4000
Practice Address - Fax:716-937-4244
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF330898363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000560543002OtherBC/BS
NY9512522OtherIHA
NY00021056502OtherUNIVERA
NY01857143Medicaid
NY000560543002OtherBC/BS
NY9512522OtherIHA