Organization
BUFFALO SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY LISS ZIMDAHL BS, RN, CNOR, CASC (ADMINISTRATOR)
(716) 250-6520
Entity
Organization
Contact information
Practice address
3921 SHERIDAN DR, AMHERST, NY 14226-1718
(716) 250-6520
(716) 250-6565
Mailing address
3921 SHERIDAN DR, AMHERST, NY 14226-1718
(716) 250-6520
(716) 250-6565
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1401231R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030394701
UNIVERA
NY
01
—
463
BLUE CROSS & BLUE SHIELDS
NY
01
—
D2
INDEPENDENT HEALTH
NY
Enumeration date
07/07/2005
Last updated
07/09/2021
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