Individual
ANTHONY R. PIVARUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1501
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
182660-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010138901
UNIVERA
NY
01
—
000523282001
HEALTHNOW
NY
01
—
0706361
INDEPENDENT HEALTH
NY
05
—
PENDING
—
NY
Enumeration date
03/10/2006
Last updated
10/01/2009
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