Individual
MR. ANTHONY DOUGLAS GALVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 930-9556
Mailing address
BUFFALO MEDICAL GROUP, SUITE 108, WILLIAMSVILLE, NY 14221
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019502-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04407723
—
NY
Enumeration date
02/24/2016
Last updated
06/06/2017
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