Provider Demographics
NPI:1811945561
Name:NORMA C QUIJADA PLLC
Entity type:Organization
Organization Name:NORMA C QUIJADA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:QUIJADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-677-0250
Mailing Address - Street 1:200 STERLING DR STE 400
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1558
Mailing Address - Country:US
Mailing Address - Phone:716-677-0250
Mailing Address - Fax:716-677-0253
Practice Address - Street 1:200 STERLING DR STE 400
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1558
Practice Address - Country:US
Practice Address - Phone:716-677-0250
Practice Address - Fax:716-677-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY202548174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY202548OtherLICENSE NUMBER
NY202548OtherLICENSE NUMBER
NY202548OtherLICENSE NUMBER
NYBA0803Medicare ID - Type Unspecified