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General NPI Number Information
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NPI Number | 1821359910
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Entity Type | Organization
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Legal Business Name | BUFFALO PAIN MEDICINE PC
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1416 SWEET HOME RD STE 12
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City | AMHERST
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State | NY
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Zip | 14228-2784
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Country | US
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Telephone | 716-688-5088
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Fax | 716-650-5744
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Provider Business Mailing Address
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Address Line | 1416 SWEET HOME RD STE 12
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City | AMHERST
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State | NY
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Zip | 14228-2784
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Country | US
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Telephone | 716-688-5088
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Fax | 716-650-5744
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. BERNARD H HSU
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Credential | M.D.
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Telephone | 917-498-6692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 246628-1
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License Number State | NY
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