Organization
BREAST CARE OF WESTERN NEW YORK L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD L. BAUER MD (CEO)
(716) 332-6834
Entity
Organization
Contact information
Practice address
199 PARK CLUB LN, SUITE 100, WILLIAMSVILLE, NY 14221-5269
(716) 332-6834
(716) 332-6853
Mailing address
199 PARK CLUB LN, SUITE 100, WILLIAMSVILLE, NY 14221-5269
(716) 332-6834
(716) 332-6853
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
159170
NY
208600000X
Surgery Physician
Primary
188498
NY
Other
Enumeration date
09/16/2006
Last updated
08/19/2013
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