Healthcare Provider Details

I. General information

NPI: 1437131802
Provider Name (Legal Business Name): SUNNY A THOMAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2005
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 BENWOOD AVE
BUFFALO NY
14214-1761
US

IV. Provider business mailing address

34 BENWOOD AVE
BUFFALO NY
14214-1761
US

V. Phone/Fax

Practice location:
  • Phone: 716-986-9199
  • Fax: 716-342-2340
Mailing address:
  • Phone: 716-986-9199
  • Fax: 716-342-2340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD050004L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: