Provider Demographics
NPI:1215995808
Name:SAVOY, NANCY A (NP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:SAVOY
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 1:908 NIAGARA FALLS BLVD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-2019
Mailing Address - Country:US
Mailing Address - Phone:716-692-3302
Mailing Address - Fax:716-213-0935
Practice Address - Street 1:520 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1304
Practice Address - Country:US
Practice Address - Phone:716-592-3600
Practice Address - Fax:716-592-3613
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF4202591363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000570238005OtherHEALTH NOW BCBS LEGACY#
NY00355266Medicaid
NY9513163OtherIHA LEGACY#
NY177093CKOtherPREFERRED CARE LEGACY#
NYJ400018822Medicare PIN
NY000570238005OtherHEALTH NOW BCBS LEGACY#