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General NPI Number Information
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NPI Number | 1992020408
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Entity Type | Organization
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Legal Business Name | BUFFALO OBGYN, LLP
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 4575 MAIN ST
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City | AMHERST
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State | NY
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Zip | 14226-4567
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Country | US
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Telephone | 716-633-4575
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Fax |
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Provider Business Mailing Address
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Address Line | 4575 MAIN ST
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City | AMHERST
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State | NY
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Zip | 14226-4567
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Country | US
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Telephone | 716-633-4575
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA GELMAN-KOESSLER
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Credential | MD
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Telephone | 716-633-4575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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