Healthcare Provider Details

I. General information

NPI: 1326014333
Provider Name (Legal Business Name): FAMILY PRACTICE ASSOCIATES OF CATTARAUGUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 02/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 BROAD ST
SALAMANCA NY
14779-1455
US

IV. Provider business mailing address

449 BROAD ST
SALAMANCA NY
14779-1455
US

V. Phone/Fax

Practice location:
  • Phone: 716-945-4770
  • Fax: 716-945-2393
Mailing address:
  • Phone: 716-945-4770
  • Fax: 716-945-2393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number143348
License Number StateNY

VIII. Authorized Official

Name: DR. ARUN P PATEL
Title or Position: PHYSICIAN
Credential: MD
Phone: 716-945-4770