Individual
GERALD SUFRIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 HIGH ST, STE B201, BUFFALO, NY 14203
(716) 859-2212
(716) 859-1888
Mailing address
100 HIGH ST, STE B201, BUFFALO, NY 14203
(716) 859-2212
(716) 859-1888
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0997201
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010174505
UNIVERA HEALTHCARE
NY
01
—
000508425226
BCBS
NY
05
—
00684831
—
NY
01
—
1902352
INDEPENDENT HEALTH
NY
Enumeration date
03/21/2006
Last updated
07/08/2007
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