Individual
DR. AUREA S DESOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 GENESEE ST, BUFFALO, NY 14203-1512
(716) 855-2866
Mailing address
PO BOX 8000, DEPT 836, BUFFALO, NY 14267
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
162156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011300701
UNIVERA
—
01
—
00026904502
UNIVERA
—
01
—
000525621002
BLUE SHIELD OF WESTERN NY
—
01
—
000525621006
BLUE SHIELD OF WESTERN NY
—
01
—
000525621009
BLUE SHIELD OF WESTERN NY
—
05
—
01059672
—
NY
01
—
145783FF
PREFERRED CARE
—
01
—
300111490
RAILROAD MEDICARE
—
01
—
5690132
INDEPENDENT HEALTH
—
01
—
CRDRA1621564
WORKERS COMPENSATION
NY
01
—
P00003640
RAILROAD MEDICARE
—
01
—
RB6946
MEDICARE
—
Enumeration date
05/03/2006
Last updated
06/10/2020
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