Individual
DR. J. BRIAN SAME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
897 DELAWARE AVE, BUFFALO, NY 14209-2007
(716) 883-6800
(716) 883-6853
Mailing address
897 DELAWARE AVE, BUFFALO, NY 14209-2007
(716) 883-6800
(716) 883-6853
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
1516221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010155901
UNIVERA
NY
01
—
000502673001
BLUE CROSS/BLUE SHIELD
NY
01
—
0046122
GHI
NY
05
—
01049063
—
NY
01
—
1002486
INDEPENDENT HEALTH
NY
Enumeration date
10/08/2005
Last updated
01/14/2011
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