Healthcare Provider Details

I. General information

NPI: 1689679730
Provider Name (Legal Business Name): CLAUS MICHAEL FICHTE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 NIAGARA FALLS BLVD STE 130
AMHERST NY
14228-2021
US

IV. Provider business mailing address

4202 LOWER RIVER RD
YOUNGSTOWN NY
14174-9753
US

V. Phone/Fax

Practice location:
  • Phone: 716-564-2020
  • Fax: 716-564-2060
Mailing address:
  • Phone: 716-754-1810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number124644-2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: