Organization
UNIVERSITY RADIOLOGY AT BUFFALO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH D. PEARSEN (MD)
(716) 836-4646
Entity
Organization
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Mailing address
199 PARK CLUB LN, SUITE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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