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Physicians Practice of Eastern Niagara PC

Surgery Physician in Lockport, NY · enumerated 2014 · authorized official Michael Ickowski, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053733915

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Registry record

Entity type Organization (Type 2)
Legal business name Physicians Practice of Eastern Niagara PC
Practice address 15 Elizabeth Dr, Lockport, NY, 14094
Phone (716) 692-3302
Fax (716) 213-0935
Enumeration date Jan 13, 2014
Last updated in NPPES Jan 13, 2014

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
2086S0102X Surgical Critical Care Physician Allopathic & Osteopathic Physicians Secondary
2086S0127X Trauma Surgery Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Michael Ickowski
Title Cfo
Phone (716) 514-5501

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Physicians Practice of Eastern Niagara PC?
NPPES lists Michael Ickowski (Cfo) as the authorized official for this organization.
What is the NPI number for Physicians Practice of Eastern Niagara PC?
The NPI for Physicians Practice of Eastern Niagara PC is 1053733915, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-13.