Organization
BUFFALO SPINE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW CAPPUCCINO MD (OWNER)
(716) 438-2973
Entity
Organization
Contact information
Practice address
46 DAVISON CT, LOCKPORT, NY 14094-5370
(716) 438-2973
(716) 438-9267
Mailing address
46 DAVISON CT, LOCKPORT, NY 14094-5370
(716) 438-2973
(716) 438-9267
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
196141-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005233405
BLUE CROSS OF WNY
NY
Enumeration date
08/20/2007
Last updated
10/17/2018
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