Organization
MFHS PHYSICIANS' EMERGENCY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RICHARD PUNDT MD (C.E.O)
(716) 691-8838
Entity
Organization
Contact information
Practice address
1540 MAPLE RD, ER, WILLIAMSVILLE, NY 14221-3647
(716) 568-6550
(716) 564-1134
Mailing address
305 CAYUGA RD, SUITE 190, CHEEKTOWAGA, NY 14225-1980
(716) 691-8838
(716) 564-1134
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011220501
UNIVERA
NY
01
—
000506009005
BC BS OF WNY
NY
05
—
01618542
—
NY
01
—
CC5203
RAILROAD MEDICARE
NY
Enumeration date
05/26/2006
Last updated
08/22/2020
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