Individual
THERESA A RUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2240 NORTH FOREST RD., WILLIAMSVILLE, NY 14221
(716) 639-4034
(716) 929-8940
Mailing address
2240 NORTH FOREST RD., WILLIAMSVILLE, NY 14221
(716) 639-4034
(716) 929-8940
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
194217
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010152301
UNIVERA
NY
01
—
000523332001
BCBS
NY
05
—
01488297
—
NY
01
—
0706211
IHA
NY
Enumeration date
01/26/2007
Last updated
07/21/2022
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