# BUFFALO ULTRASOUND, IDTF INC

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

## Provider details

- **NPI number:** 1790892826
- **Authorized official:** MR. MICHAEL STRAECK JR. (PRESIDENT)
- **Authorized official phone:** (716) 631-2262

## Contact information

- **Practice address:** 388 EVANS ST, WILLIAMSVILLE, NY 14221-5626
- **Practice address phone:** (716) 631-2262
- **Practice address fax:** (716) 631-2317
- **Mailing address:** 388 EVANS STREET, WILLIAMSVILLE, NY 14221-5626
- **Mailing address phone:** (716) 634-8800
- **Mailing address fax:** (716) 634-8987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | NY | — |
| 2471C3402X | Radiography Radiologic Technologist | — | NY | — |
| 2471S1302X | Sonography Radiologic Technologist | — | NY | — |
| 2471V0105X | Vascular Sonography Radiologic Technologist | — | NY | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NY | — |
| 293D00000X | Physiological Laboratory | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 02/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00011172401 | UNIVERA | NY |
| 01 | — | 0051047011 | BC/BS WNY | NY |
| 05 | — | 02405181 | — | NY |
| 01 | — | 1610947 | INDEPENDENT HEALTH | NY |
| 01 | — | 4100574 | GHI | NY |
| 01 | — | 470000919 | RAILROAD MEDICARE | NY |
| 01 | — | 630001671 | RAILROAD MEDICARE | NY |
| 01 | — | P010169198 | BC/BS ROCHESTER | NY |