Organization
BUFFALO MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AHALAM DHALI (CREDENTIALING SPECIALIST)
(716) 630-1219
Entity
Organization
Contact information
Practice address
325 ESSJAY RD STE 108, WILLIAMSVILLE, NY 14221
(716) 630-1219
(716) 817-1726
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
180616
NY
207R00000X
Internal Medicine Physician
200751
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/05/2006
Last updated
08/23/2018
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