Provider Demographics
NPI:1710506993
Name:MCGLYNN, LAURA (DO)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:MCGLYNN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:897 DELAWARE AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2087
Mailing Address - Country:US
Mailing Address - Phone:716-846-1190
Mailing Address - Fax:716-846-1191
Practice Address - Street 1:897 DELAWARE AVE STE 301
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2087
Practice Address - Country:US
Practice Address - Phone:716-846-1190
Practice Address - Fax:716-846-1191
Is Sole Proprietor?:No
Enumeration Date:2020-04-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY328104207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology