Healthcare Provider Details

I. General information

NPI: 1487215885
Provider Name (Legal Business Name): MEDICAL SERVICES OF BUFFALO, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2019
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E MAIN ST
SPRINGVILLE NY
14141-1443
US

IV. Provider business mailing address

6075 POPLAR AVENUE SUITE 401
MEMPHIS TN
38119
US

V. Phone/Fax

Practice location:
  • Phone: 716-592-2871
  • Fax: 901-795-6060
Mailing address:
  • Phone: 901-795-3600
  • Fax: 901-795-6060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SANFORD GLANTZ
Title or Position: OWNER
Credential: MD
Phone: 901-795-3600