Healthcare Provider Details

I. General information

NPI: 1730128851
Provider Name (Legal Business Name): JERALD P KUHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 DELAWARE AVE
BUFFALO NY
14209-2412
US

IV. Provider business mailing address

905 HARLEM RD
WEST SENECA NY
14224-1066
US

V. Phone/Fax

Practice location:
  • Phone: 716-883-3333
  • Fax: 716-883-6000
Mailing address:
  • Phone: 716-825-1398
  • Fax: 716-825-3834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number092190
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: