Individual
BRUCE MICHAEL SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
742 DELAWARE AVE, BUFFALO, NY 14209-2202
(716) 431-5100
Mailing address
10540 STONEWAY, CLARENCE, NY 14031-2100
(716) 759-8459
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
128047
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00650055
—
NY
Enumeration date
08/31/2006
Last updated
06/18/2025
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