# HAIR RESTORATION & AESTHETICS OF BUFFALO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194411629
- **Authorized official:** LORI NICHOLAS (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (716) 870-0437

## Contact information

- **Practice address:** 777 MAPLE RD STE 4&5, WILLIAMSVILLE, NY 14221-3275
- **Practice address phone:** (716) 500-4247
- **Practice address fax:** (716) 428-3890
- **Mailing address:** 777 MAPLE RD STE 4&5, WILLIAMSVILLE, NY 14221-3275
- **Mailing address phone:** (716) 500-4247
- **Mailing address fax:** (716) 428-3890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2023
- **Last updated:** 04/17/2023