Organization
BUFFALO SPINE & SPORTS MEDICINE PC
Active
Other names
Buffalo Spine & Sports Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHERI ZILLIOUX (EXECUTIVE DIRECTOR)
(716) 650-3115
Entity
Organization
Contact information
Practice address
100 COLLEGE PARKWAY, SUITE 100, WILLIAMSVILLE, NY 14221
(716) 626-0093
(716) 626-9193
Mailing address
100 COLLEGE PARKWAY, SUITE 100, WILLIAMSVILLE, NY 14221
(716) 626-0093
(716) 626-9193
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1622591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02396821
—
NY
Enumeration date
07/10/2006
Last updated
08/21/2014
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