Healthcare Provider Details

I. General information

NPI: 1447491899
Provider Name (Legal Business Name): UNIVERSITY ORTHOPAEDIC SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2009
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3671 SOUTHWESTERN BLVD SUITE 207
ORCHARD PARK NY
14127-1752
US

IV. Provider business mailing address

3671 SOUTHWESTERN BLVD SUITE 207
ORCHARD PARK NY
14127-1752
US

V. Phone/Fax

Practice location:
  • Phone: 716-829-3670
  • Fax:
Mailing address:
  • Phone: 716-829-3670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ROGERS
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 716-829-3670