Individual
DR. JOHN FAHRBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 14221-7183
(716) 218-1000
(716) 200-1857
Mailing address
40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 14221-7183
(716) 218-1000
(716) 200-1857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
243524
NY
207T00000X
Neurological Surgery Physician
Primary
243524
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02904781
—
NY
Enumeration date
05/22/2007
Last updated
10/15/2019
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