Organization
BUFFALO MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SCULLY (CEO)
(716) 630-1000
Entity
Organization
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 630-1000
Mailing address
425 ESSJAY RD, WILLIAMSVILLE, NY 14221-5782
(716) 630-1000
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
—
—
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/21/2019
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