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NPI Code Detail

MEDICARE: DR. ZACHARY LEON BRUMBERGER MD

MEDICARE: DR. ZACHARY LEON BRUMBERGER 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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RC0000XCardiovascular Disease Physician308753NY

General Provider Information

NPI Number : 1578068771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZACHARY LEON BRUMBERGER MD
Provider Business Mailing Address
First Line : 144 GENESEE ST FL 3
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1560
Country : US
Telephone Number : 167-601-3600
Fax Number :
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2692
Country : US
Telephone Number : 716-862-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2018
Last Update Date : 08/06/2025

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