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Contact Information

ACADEMIC BUFFALONIAS IN PHYSICAL MEDICINE & REHABILITATION PC
2121 MAIN ST
SUITE 112
BUFFALO, NY14214-2693
 Phone: 716-832-1000
 Fax: 716-832-1001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ACADEMIC BUFFALONIAS IN PHYSICAL MEDICINE & REHABILITATION PC

NPI Number 1063711992
LBN Legal business name ACADEMIC BUFFALONIAS IN PHYSICAL MEDICINE & REHABILITATION PC
Authorized official GARY WANG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/17/2011
Last updated 10/04/2013 - About 13 years ago
Identifiers
NY License # 216631
NY Other J100050852 MEDICARE PTAN
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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