# WESTERN NEW YORK THORACIC SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WNYTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447025036
- **Authorized official:** DR. RUSSELL ELLIOTT CARLSON MD (OWNER WNYTS)
- **Authorized official phone:** (716) 462-4415

## Contact information

- **Practice address:** 1093 DELAWARE AVE APT 5, BUFFALO, NY 14209-1655
- **Practice address phone:** (716) 574-0396
- **Practice address fax:** (716) 303-7008
- **Mailing address:** PO BOX 7, BUFFALO, NY 14207-0007
- **Mailing address phone:** (716) 462-4415
- **Mailing address fax:** (716) 303-7008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/24/2023
- **Last updated:** 11/24/2023