Individual
DR. CHARLES S. TIRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 649-9000
(716) 649-9005
Mailing address
405 N FRENCH RD, SUITE 104, AMHERST, NY 14228-2010
(716) 689-1901
(716) 564-0209
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
097861-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
097861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026748305
UNIVERA HEALTHCARE
NY
01
—
000507061006
BCBS
NY
05
—
00673776
—
NY
01
—
060530000067
FIDELIS OF NEW YORK
NY
01
—
149934FF
PREFERRED CARE
NY
01
—
1609206
INDEPENDENT HEALTH
NY
01
—
P00135324
RR MEDICARE
NY
Enumeration date
02/01/2006
Last updated
08/24/2011
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