Bradley R Ertel MD
Physical Medicine & Rehabilitation in Buffalo, NY. Organization (NPI-2).
NPI number1134489115
StatusActive
Last updated in NPPESMay 23, 2012
Details
- NPI
- 1134489115
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley R Ertel MD
- Organization subpart
- No
- Enumeration date
- May 23, 2012
- Last updated
- May 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 263500 | NY | Yes |
Practice location
565 Abbott RdBuffalo, NY 14220-2039
Phone 716-826-7000
Mailing address
2469 Kensington AveAmherst, NY 14226-4928
Phone 716-491-0271
Authorized official
Bradley R. Ertel
Sole Owner
7164910271
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