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Organization

WESTERN NEW YORK HOSPITALIST GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TARIQ N AHMAD M.D. (OWNER)
(716) 649-0887
Entity
Organization

Contact information

Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 826-7000
Mailing address
170 ROTHER AVE, BUFFALO, NY 14212-1536
(716) 649-0887
(716) 646-4611

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026235905
UNIVERA
NY
01
080508000134
FIDELIS CARE
NY
01
GRP530154001
BLUE CROSS BLUE SHIELD OF WNY
NY
Enumeration date
03/03/2008
Last updated
06/12/2008
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