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General NPI Number Information
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NPI Number | 1932379294
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Entity Type | Organization
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Legal Business Name | WESTERN NEW YORK HOSPITALIST GROUP PC
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-826-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 170 ROTHER AVE
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City | BUFFALO
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State | NY
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Zip | 14212-1536
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Country | US
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Telephone | 716-649-0887
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Fax | 716-646-4611
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Authorized Official
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Title or Position | OWNER
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Name | TARIQ N AHMAD
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Credential | M.D.
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Telephone | 716-649-0887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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