Individual
ANDREW HENRY TALAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 ELLICOTT ST, SUITE 6090, BUFFALO, NY 14203-1070
(716) 888-4738
(716) 854-1397
Mailing address
875 ELLICOTT ST, SUITE 6090, BUFFALO, NY 14203-1070
(716) 888-4738
(716) 854-1397
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
203220
NY
207RG0100X
Gastroenterology Physician
Primary
203220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02134783
—
NY
Enumeration date
10/16/2006
Last updated
02/18/2016
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