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NPI Code Detail

MEDICARE: ASSOCIATED PHYSICIANS OF WESTERN NEW YORK P.C.

MEDICARE: ASSOCIATED PHYSICIANS OF WESTERN NEW YORK P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2363A00000XPhysician Assistant
3207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1093751505
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSOCIATED PHYSICIANS OF WESTERN NEW YORK P.C.
Provider Business Mailing Address
First Line : 1616 KENSINGTON AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1433
Country : US
Telephone Number : 716-835-3097
Fax Number : 716-837-4654
Provider Business Practice Location Address
First Line : 1616 KENSINGTON AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1433
Country : US
Telephone Number : 716-835-3097
Fax Number : 716-837-4654
Authorized Official
Title or Position : PRESIDENT
Name : DR. NADY R SHEHATA
Credential : MD
Telephone Number : 716-835-3097
Provider Enumeration Date : 06/22/2006
Last Update Date : 06/18/2015

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Directions to “ASSOCIATED PHYSICIANS OF WESTERN NEW YORK P.C. ” Practice Location

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