Individual
DR. JOHN MICHAEL IMPROTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 898-4536
Mailing address
1689 COLVIN BLVD, BUFFALO, NY 14223-1121
(716) 876-7803
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
238775
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000528234001
BLUE CROSS, BLUE SHIELD
NY
01
—
0027252501
UNIVERA
NY
01
—
1590188
IIHA
NY
Enumeration date
12/21/2006
Last updated
07/08/2007
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