Individual
EDWARD FINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 859-7501
Mailing address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 859-7501
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
099683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01242740
—
NY
Enumeration date
03/14/2006
Last updated
03/28/2014
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