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Organization
BUFFALO OTOLARYNGOLOGY GROUP, PC
Active
Organization
BUFFALO OTOLARYNGOLOGY GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TINEKE M HALL (OFFICE MANAGER)
(716) 883-6800
Entity
Organization
Contact information
Practice address
897 DELAWARE AVE, THIRD FLOOR, BUFFALO, NY 14209-2007
(716) 883-6800
(716) 883-6853
Mailing address
897 DELAWARE AVE, THIRD FLOOR, BUFFALO, NY 14209-2007
(716) 883-6800
(716) 883-6853
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0046122
GHI
NY
05
—
01266531
—
NY
Enumeration date
11/08/2005
Last updated
04/25/2013
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