Individual
DR. MICHAEL JOHN ENDL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 NIAGARA FALLS BLVD, STE 130, AMHERST, NY 14228-2046
(716) 564-2020
(716) 564-2060
Mailing address
6500 PORTER RD, STE 2020, NIAGARA FALLS, NY 14304-1529
(716) 282-1114
(716) 282-0523
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
221211-2
NY
207W00000X
Ophthalmology Physician
Primary
221211-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010055201
UNIVERA
NY
01
—
000526479001
COMMUNITY BLUE
NY
01
—
000526479002
COMMUNITY BLUE
NY
05
—
02422351
—
NY
01
—
0811207
IHA
NY
01
—
161578122
NOVA
NY
01
—
251744484
EMPIRE - UNITED HEALTHCAR
NY
01
—
P00412802
MEDICARE RAIL ROAD
NY
Enumeration date
06/15/2005
Last updated
01/28/2020
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