Healthcare Provider Details

I. General information

NPI: 1588749816
Provider Name (Legal Business Name): MICHAEL A VASQUEZ, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4927 MAIN ST STE 400
AMHERST NY
14226-4081
US

IV. Provider business mailing address

4927 MAIN ST STE 400
AMHERST NY
14226-4081
US

V. Phone/Fax

Practice location:
  • Phone: 716-877-7000
  • Fax: 716-322-1164
Mailing address:
  • Phone: 716-877-7000
  • Fax: 716-322-1164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number198880
License Number StateNY

VIII. Authorized Official

Name: DR. MICHAEL ANTHONY VASQUEZ
Title or Position: PRESIDENT
Credential: MD
Phone: 716-690-2691