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Organization

BUFFALO MEDICAL GROUP, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL J SCULLY CEO (CEO)
(716) 630-2500
Entity
Organization

Contact information

Practice address
325 ESSJAY RD, 4TH FLOOR ADMIN, WILLIAMSVILLE, NY 14221-8243
(716) 630-2500
(716) 630-2509
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207U00000X
Nuclear Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
207W00000X
Ophthalmology Physician
207Y00000X
Otolaryngology Physician
2084P0800X
Psychiatry Physician
2085B0100X
Body Imaging Physician
208600000X
Surgery Physician
208800000X
Urology Physician
208M00000X
Hospitalist Physician
261QH0100X
Health Service Clinic/Center
NY
261QM1300X
Multi-Specialty Clinic/Center
NY
291U00000X
Clinical Medical Laboratory
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02997799
NY
Enumeration date
04/18/2006
Last updated
09/03/2022
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