Healthcare Provider Details

I. General information

NPI: 1235100041
Provider Name (Legal Business Name): JOSEPH M ANAIN SR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 10/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 MAIN STREET SUITE 316
BUFFALO NY
14214
US

IV. Provider business mailing address

2121 MAIN STREET SUITE 316
BUFFALO NY
14214
US

V. Phone/Fax

Practice location:
  • Phone: 716-837-2400
  • Fax: 716-837-3860
Mailing address:
  • Phone: 716-837-2400
  • Fax: 716-837-3860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number098379
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: