Academic Buffalonias In Physical Medicine & Rehabilitation PC
Physical Medicine & Rehabilitation in Buffalo, NY. Organization (NPI-2).
NPI number1063711992
StatusActive
Last updated in NPPESOct 4, 2013
Details
- NPI
- 1063711992
- Entity type
- Organization (NPI-2)
- Legal business name
- Academic Buffalonias In Physical Medicine & Rehabilitation PC
- Organization subpart
- No
- Enumeration date
- Mar 17, 2011
- Last updated
- Oct 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 216631 | NY | Yes |
Practice location
2121 Main StSuite 112
Buffalo, NY 14214-2693
Phone 716-832-1000 · Fax 716-832-1001
Mailing address
2121 Main StSuite 210 Seton Bldg.
Buffalo, NY 14214-2693
Phone 716-832-1000
Authorized official
Gary G Wang
President
7168321000
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