| Buffalo Hospitalist | |
|
Roswell Park Cancer Institute Elm And Carlton St Buffalo NY 14263-0001 | |
| (716) 713-6808 | |
| Not Available |
| Full Name | Buffalo Hospitalist |
|---|---|
| Speciality | Internal Medicine |
| Location | Roswell Park Cancer Institute, Buffalo, New York |
| Authorized Official Name and Position | John a Brach (PRESIDENT, PHYSICIAN) |
| Authorized Official Contact | 5183835450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Hospitalist 11178 Jamison Rd East Aurora NY 14052-9635 Ph: (716) 662-2544 | Buffalo Hospitalist Roswell Park Cancer Institute Elm And Carlton St Buffalo NY 14263-0001 Ph: (716) 713-6808 |
| NPI Number | 1124292099 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124292099 | NPI | - | NPPES |
| 02551797 | Medicaid | NY | |
| 000513219100 | Other | NY | BSWNY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
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