Organization
PEDIATRIC UROLOGY OF WESTERN NEW YORK P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE E WILLIOT M.D. (PHYSICIAN)
(716) 859-7978
Entity
Organization
Contact information
Practice address
100 HIGH ST, #C2, BUFFALO, NY 14203
(716) 859-7978
Mailing address
65 LEBRUN CIRCLE, EGGERTSVILLE, NY 14226-4120
(716) 878-7393
(716) 878-7096
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
141541
NY
208800000X
Urology Physician
231942
NY
2088P0231X
Pediatric Urology Physician
141541
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01376347
—
NY
Enumeration date
01/30/2007
Last updated
04/20/2020
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