Organization
SURGICAL ASSOCIATES OF WESTERN NY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RURIK JOHNSON MD (PRESIDENT)
(716) 677-5500
Entity
Organization
Contact information
Practice address
550 ORCHARD PARK RD, A103, WEST SENECA, NY 14224-2646
(716) 677-5500
(716) 677-5008
Mailing address
550 ORCHARD PARK RD STE A103, WEST SENECA, NY 14224-2654
(716) 677-5500
(716) 677-5008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00502623001
BLUE CROSS & BLUE SHIELD
NY
05
—
01226342
—
NY
Enumeration date
05/24/2006
Last updated
05/05/2026
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