Individual
DR. SAMUEL N PUVENDRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1026 UNION RD, WEST SENECA, NY 14224-3445
(716) 712-1030
(716) 651-9855
Mailing address
2875 UNION RD, SUITE 8, CHEEKTOWAGA, NY 14227-1470
(716) 206-1550
(716) 651-9855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256609
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
256609
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
256609
NY
Other
Enumeration date
04/09/2010
Last updated
02/05/2021
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