Healthcare Provider Details

I. General information

NPI: 1861533747
Provider Name (Legal Business Name): JOSEPH B. NEIMAN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 YOUNGS RD
WILLIAMSVILLE NY
14221-8054
US

IV. Provider business mailing address

1140 YOUNGS RD
WILLIAMSVILLE NY
14221-8054
US

V. Phone/Fax

Practice location:
  • Phone: 716-688-0020
  • Fax: 716-688-2328
Mailing address:
  • Phone: 716-688-0020
  • Fax: 716-688-2328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number117713
License Number StateNY

VIII. Authorized Official

Name: DR. JOSEPH BRUCE NEIMAN
Title or Position: OWNER
Credential: M.D.
Phone: 716-688-0020