Organization
BUFFALO NIAGARA RETINA ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN THEURER (BILLING MANAGER)
(716) 631-3300
Entity
Organization
Contact information
Practice address
6480 MAIN ST, SIUTE #1, WILLIAMSVILLE, NY 14221-5852
(716) 631-3300
(716) 631-3303
Mailing address
6480 MAIN ST, SUITE #1, WILLIAMSVILLE, NY 14221-5852
(716) 631-3300
(716) 631-3303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2358341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02676391
—
NY
Enumeration date
01/09/2009
Last updated
08/31/2016
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