Organization
PROSCAN RADIOLOGY BUFFALO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN E AMAYA (SENIOR DIRECTOR, CORPORATE ADMIN)
(513) 924-5174
Entity
Organization
Contact information
Practice address
5214 MAIN ST, WILLIAMSVILLE, NY 14221-5373
(716) 839-2600
(716) 839-6700
Mailing address
5214 MAIN ST, WILLIAMSVILLE, NY 14221-5373
(716) 839-2600
(716) 839-6700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB9023
RAILROAD MEDICARE
NY
Enumeration date
10/28/2005
Last updated
03/26/2015
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