# SYDE A TAHERI

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

## Provider details

- **NPI number:** 1588629687
- **Authorized official:** SYDE A TAHERI MD (OWNER)
- **Authorized official phone:** (716) 633-1838

## Contact information

- **Practice address:** 268 DAN TROY DR, WILLIAMSVILLE, NY 14221-3571
- **Practice address phone:** (716) 633-1838
- **Practice address fax:** (716) 634-4164
- **Mailing address:** 268 DAN TROY DR, WILLIAMSVILLE, NY 14221-3571
- **Mailing address phone:** (716) 633-1838
- **Mailing address fax:** (716) 634-4164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 085542 | NY | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 08/22/2020