MEDICARE: DR. JOEL B DURINKA MD

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
1	208600000X	Surgery Physician	MT198242	PA
2	207Q00000X	Family Medicine Physician	20788563	NY

General Provider Information

NPI Number	:	1144541343
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL B DURINKA MD

Provider Business Mailing Address
First Line	:	500 SENECA ST APT 4-22
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14204-1990
Country	:	US
Telephone Number	:	716-866-8160
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 SENECA ST APT 4-22
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14204-1990
Country	:	US
Telephone Number	:	800-346-7834
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	03/16/2021

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