Organization
BREAST SCREENING CENTER OF WNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEH A FETOUH MD (DIRECTOR)
(716) 838-1300
Entity
Organization
Contact information
Practice address
2828 MAIN ST, BUFFALO, NY 14214-1722
(716) 838-1300
(716) 837-7725
Mailing address
2828 MAIN ST, BUFFALO, NY 14214-1722
(716) 838-1300
(716) 837-7725
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00610725
—
NY
Enumeration date
02/12/2008
Last updated
02/12/2008
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