Organization
EASTERN NIAGARA MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY FATTOUCH M.D. (PRESIDENT)
(716) 389-3304
Entity
Organization
Contact information
Practice address
5875 S TRANSIT RD, LOCKPORT, NY 14094-6340
(716) 514-1166
(716) 514-5788
Mailing address
2372 SWEET HOME RD STE 3, AMHERST, NY 14228-2330
(716) 389-3304
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02051605
—
NY
Enumeration date
08/24/2006
Last updated
10/15/2024
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