| Buffalo Medical Group, P.c. | |
|
325 Essjay Rd Ste 108 Williamsville NY 14221 | |
| (716) 630-1219 | |
| (716) 817-1726 |
| Full Name | Buffalo Medical Group, P.c. |
|---|---|
| Speciality | Physician Assistant |
| Location | 325 Essjay Rd Ste 108, Williamsville, New York |
| Authorized Official Name and Position | Ahalam Dhali (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7166301219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Medical Group, P.c. 425 Essjay Rd Ste 170 Williamsville NY 14221-5782 Ph: (716) 630-1219 | Buffalo Medical Group, P.c. 325 Essjay Rd Ste 108 Williamsville NY 14221 Ph: (716) 630-1219 |
| NPI Number | 1669434635 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 08/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669434635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 180616 (New York) | Secondary |
| 207R00000X | Internal Medicine | 200751 (New York) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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