Healthcare Provider Details

I. General information

NPI: 1841278496
Provider Name (Legal Business Name): BUFFALO NEUROSURGERY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 08/07/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 ORCHARD PARK RD STE A105
WEST SENECA NY
14224-2646
US

IV. Provider business mailing address

550 ORCHARD PARK RD STE A105
WEST SENECA NY
14224
US

V. Phone/Fax

Practice location:
  • Phone: 716-677-6000
  • Fax: 716-677-6006
Mailing address:
  • Phone: 716-677-6000
  • Fax: 716-677-6006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL JEFFREY LEWIS
Title or Position: DIRECTOR/PRESIDENT
Credential: M.D.
Phone: 716-677-6000