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Individual

STANLEY Y BYUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8254
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-8254

Taxonomy

Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
164595
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00020516701
UNIVERA
NY
01
000524495002
BLUE CROSS BLUE SHIELD
NY
05
01033545
NY
01
3705738
INDEPENDENT HEALTH
NY
Enumeration date
07/13/2005
Last updated
02/10/2011
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