Healthcare Provider Details

I. General information

NPI: 1700050523
Provider Name (Legal Business Name): EXIGENCE HOSPITALIST MEDICAL SERVICES OF WESTERN NEW YORK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2008
Last Update Date: 05/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 ABBOTT RD
BUFFALO NY
14220-2039
US

IV. Provider business mailing address

PO BOX 2863
BUFFALO NY
14240-2863
US

V. Phone/Fax

Practice location:
  • Phone: 716-826-7000
  • Fax: 716-362-9518
Mailing address:
  • Phone: 716-692-3302
  • Fax: 716-362-9518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN G HOLTZCLAW
Title or Position: OWNER
Credential: MD
Phone: 856-686-4317