Healthcare Provider Details

I. General information

NPI: 1982792859
Provider Name (Legal Business Name): BUFFALO CARDIAC SURGICAL ASSOCIATES, LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2006
Last Update Date: 07/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

100 HIGH ST
BUFFALO NY
14203-1126
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-2243
  • Fax: 716-859-2885
Mailing address:
  • Phone: 716-859-2243
  • Fax: 716-859-2885

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: COLLEEN MORRIS
Title or Position: BILLING MANAGER
Credential:
Phone: 716-859-3392