Healthcare Provider Details

I. General information

NPI: 1720034747
Provider Name (Legal Business Name): ERIC SNITZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 SPINDRIFT DRIVE WINDSONG RADIOLOGY GROUP, P.C.
WILLIAMSVILLE NY
14221-7800
US

IV. Provider business mailing address

55 SPINDRIFT DRIVE WINDSONG RADIOLOGY GROUP, P.C.
WILLIAMSVILLE NY
14221-7800
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-2500
  • Fax: 716-631-1249
Mailing address:
  • Phone: 716-631-2500
  • Fax: 716-631-1249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number1865871
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: