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Organization
BUFFALO ULTRASOUND, IDTF
Active
Organization
BUFFALO ULTRASOUND, IDTF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STRAECK JR. (PRESIDENT)
(716) 631-2262
Entity
Organization
Contact information
Practice address
388 EVANS ST, WILLIAMSVILLE, NY 14221-5626
(716) 631-2262
(716) 631-8237
Mailing address
388 EVANS ST, WILLIAMSVILLE, NY 14221-5626
(716) 631-2262
(716) 631-8237
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
NULL
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
NULL
Other
Enumeration date
10/07/2008
Last updated
04/15/2022
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