Individual
DR. AUSRA SELVADURAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5725
(716) 633-7386
(716) 633-7970
Mailing address
405 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5725
(716) 633-7338
(716) 633-7970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
257467
NY
207WX0107X
Retina Specialist (Ophthalmology) Physician
257467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03240526
—
NY
Enumeration date
10/30/2007
Last updated
12/05/2017
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