Individual
MICHAEL CLANCY O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FAAEM
Contact information
Practice address
462 GRIDER ST, DEPARTMENT OF EMERGENCY MEDICINE, BUFFALO, NY 14215
(773) 837-2892
(888) 641-2862
Mailing address
462 GRIDER ST, DEPARTMENT OF EMERGENCY MEDICINE, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
145945
IL
207P00000X
Emergency Medicine Physician
Primary
284739
NY
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
145945
IL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
284739
NY
Other
Enumeration date
12/28/2011
Last updated
06/12/2018
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