Organization
UNIVERSITY AT BUFFALO NEUROSURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHAEL COURNYEA (CEO)
(716) 218-1000
Entity
Organization
Contact information
Practice address
180 PARK CLUB LN, BUFFALO, NY 14221-5263
(716) 839-9402
Mailing address
180 PARK CLUB LN, BUFFALO, NY 14221-5263
(716) 839-9402
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02301348
—
NY
Enumeration date
04/08/2015
Last updated
08/27/2015
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