Vawnyhs

Specialty details in registry · Buffalo, NY

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At a glance

3495 Bailey Ave, Buffalo, NY 14215-1129

NPPES record updated Oct 1, 2009. Public records can lag behind changes at a practice.

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Practice location

3495 Bailey Ave
Buffalo, NY 14215-1129

Professional details: NPI, taxonomy & registry record

NPI1154655546

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 282NC0060X
Enumeration date: Oct 1, 2009
Record updated: Oct 1, 2009

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

282NC0060X · Primary

License reported: 045014 NY

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

3495 Bailey Ave
Buffalo, NY 14215-1129

Phone: (716) 862-3100

Mailing address

3495 BAILEY AVE

BUFFALO, NY 142151129

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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