Individual
DR. JOSEPH G. RUSNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220
(716) 649-9000
(716) 649-9005
Mailing address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
(716) 649-9005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
184871
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
184871
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010152406
UNIVERA HEALTHCARE
NY
01
—
000511365004
BCBS
NY
05
—
01248315
—
NY
01
—
040426001486
FIDELIS OF NEW YORK
NY
01
—
146158FF
PREFERRED CARE
NY
01
—
1609206
INDEPENDENT HEALTH
NY
01
—
300080551
RR MEDICARE
NY
Enumeration date
02/03/2006
Last updated
05/22/2018
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