Individual
DR. RURIK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 ORCHARD PARK RD, A103, WEST SENECA, NY 14224-2646
(716) 677-5500
(716) 677-5008
Mailing address
550 ORCHARD PARK RD STE A103, WEST SENECA, NY 14224-2654
(716) 677-5500
(716) 677-5008
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
229457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028110301
UNIVERA
—
01
—
000529158001
BC/BS
—
01
—
0156830
GHI PPO
—
05
—
02877796
—
NY
01
—
1714218
INDEPENDENT HEALTH
—
01
—
229457-7W
WORKERS COMPENSATION
NY
01
—
P00474579
RRM
NY
Enumeration date
08/13/2006
Last updated
05/05/2026
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