Organization
HAND & UPPER EXTREMITY SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE JETTE (ADMINISTRATOR)
(716) 887-4479
Entity
Organization
Contact information
Practice address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 887-4040
Mailing address
3 GATES CIR, BUFFALO, NY 14209-1120
(716) 887-4040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000502766001
BCBS GROUP ID
NY
05
—
01785991
—
NY
01
—
1606768
INDEPENDENT HEALTH GRP ID
NY
Enumeration date
11/01/2006
Last updated
11/17/2008
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