Healthcare Provider Details

I. General information

NPI: 1013027663
Provider Name (Legal Business Name): BUFFALO RHEUMATOLOGY AND MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 SHERIDAN DR
AMHERST NY
14226-1548
US

IV. Provider business mailing address

3500 SHERIDAN DR
AMHERST NY
14226-1548
US

V. Phone/Fax

Practice location:
  • Phone: 716-204-4263
  • Fax: 716-204-4264
Mailing address:
  • Phone: 716-204-4263
  • Fax: 716-204-4264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number225612
License Number StateNY

VIII. Authorized Official

Name: DR. JOSEPH M GRISANTI
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 716-675-2500