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NPI Code Detail

MEDICARE: ADVANCED CARDIAC SURGICAL ASSOCIATES, PLLC

MEDICARE: ADVANCED CARDIAC SURGICAL ASSOCIATES, PLLC
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
1174400000XSpecialist
2208200000XPlastic Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568468551
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED CARDIAC SURGICAL ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : PO BOX 121
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14231-0121
Country : US
Telephone Number : 716-839-3638
Fax Number : 716-839-3102
Provider Business Practice Location Address
First Line : 5225 SHERIDAN DR
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3573
Country : US
Telephone Number : 716-839-3638
Fax Number : 716-839-3102
Authorized Official
Title or Position : SENIOR PARTNER
Name : DR. HRATCH L KARAMANOUKIAN
Credential : MD
Telephone Number : 716-839-3638
Provider Enumeration Date : 06/23/2005
Last Update Date : 06/18/2009

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