Provider Demographics
NPI:1316903321
Name:EARLY, AMY P (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:P
Last Name:EARLY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name Type:
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Mailing Address - Street 1:ELM AND CARLTON ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14263-0001
Mailing Address - Country:US
Mailing Address - Phone:716-845-2300
Mailing Address - Fax:716-845-3423
Practice Address - Street 1:100 COLLEGE PKWY
Practice Address - Street 2:SUITE 290
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6800
Practice Address - Country:US
Practice Address - Phone:716-845-8711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2019-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY131051207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161000580OtherNORTH AMERICAN PREFERRED
NY0021748OtherGHI
NY00716610Medicaid
NY2700550OtherIHA
NY000508594003OtherHEALTH NOW
NY00010049801OtherUNIVERA
NY110038838OtherRR MEDICARE
NY110038838OtherRR MEDICARE
NYN52741Medicare PIN