| Stephanie L Soehnlein, MD | |
|
3900 N Buffalo St, Orchard Park, NY 14127-1842 | |
| (716) 630-1112 | |
| (716) 631-1178 |
| Full Name | Stephanie L Soehnlein |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 3900 N Buffalo St, Orchard Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144558057 | NPI | - | NPPES |
| 03572492 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 264892 (New York) | Primary |
| Entity Name | Buffalo Medical Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881659506 PECOS PAC ID: 7012820301 Enrollment ID: O20031112000213 |
| Entity Name | Southtowns Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295779072 PECOS PAC ID: 9830097542 Enrollment ID: O20031219000381 |
| Entity Name | Sra Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881920452 PECOS PAC ID: 1759369663 Enrollment ID: O20040708000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie L Soehnlein, MD 425 Essjay Rd Ste 170, Williamsville, NY 14221-8235 Ph: (716) 630-1219 | Stephanie L Soehnlein, MD 3900 N Buffalo St, Orchard Park, NY 14127-1842 Ph: (716) 630-1112 |
Dr. Henry Frederick Goller, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 40 Brookins Green Dr, Orchard Park, NY 14127 Phone: 716-662-3871 | |
John Michael Reiser, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 40 Birdsong Pkwy, Orchard Park, NY 14127 Phone: 716-574-2672 | |
Jeffrey Lieberman, Radiology Medicare: Medicare Enrolled Practice Location: 3055 Southwestern Blvd, Suite 104, Orchard Park, NY 14127 Phone: 716-677-6736 Fax: 716-677-6144 |