Individual
MAX CHUDY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST STE K3502, BUFFALO, NY 14203-1009
(716) 323-6570
(716) 323-6658
Mailing address
1001 MAIN ST STE K3502, BUFFALO, NY 14203-1009
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1453921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01092979
—
NY
Enumeration date
01/31/2006
Last updated
03/04/2021
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