# BUFFALO SPINE & SPORTS MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Buffalo Spine & Sports Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770517765
- **Authorized official:** MR. SHERI ZILLIOUX (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (716) 650-3115

## Contact information

- **Practice address:** 100 COLLEGE PARKWAY, SUITE 100, WILLIAMSVILLE, NY 14221
- **Practice address phone:** (716) 626-0093
- **Practice address fax:** (716) 626-9193
- **Mailing address:** 100 COLLEGE PARKWAY, SUITE 100, WILLIAMSVILLE, NY 14221
- **Mailing address phone:** (716) 626-0093
- **Mailing address fax:** (716) 626-9193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1622591 | NY | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 08/21/2014