Healthcare Provider Details

I. General information

NPI: 1104861178
Provider Name (Legal Business Name): STEPHEN W DOWNING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 ABBOTT RD SUITE 310
BUFFALO NY
14220-1700
US

IV. Provider business mailing address

515 ABBOTT RD SUITE 310
BUFFALO NY
14220-1700
US

V. Phone/Fax

Practice location:
  • Phone: 716-923-9650
  • Fax: 716-961-4440
Mailing address:
  • Phone: 716-923-9650
  • Fax: 716-961-4440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number224769
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: