Healthcare Provider Details

I. General information

NPI: 1427408681
Provider Name (Legal Business Name): BRITTANY ROUCHOU M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 ELLICOTT ST
BUFFALO NY
14203-1021
US

IV. Provider business mailing address

101 MAIN ST FL 5
BUFFALO NY
14203-2401
US

V. Phone/Fax

Practice location:
  • Phone: 716-323-2000
  • Fax: 716-323-0293
Mailing address:
  • Phone: 716-323-0225
  • Fax: 716-323-0293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License Number346802
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: