MEDICARE: UNIVERSITY NEUROLOGY, INC.

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	2084N0400X	Neurology Physician

Other Identifiers

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

General Provider Information

NPI Number	:	1649293820
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY NEUROLOGY, INC.

Provider Business Mailing Address
First Line	:	77 GOODELL STREET
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14203-1126
Country	:	US
Telephone Number	:	716-859-7505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 MAIN ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14202-1102
Country	:	US
Telephone Number	:	716-878-2497
Fax Number	:

Authorized Official
Title or Position	:	CHAIR
Name	:	DANIEL WOO
Credential	:	MD
Telephone Number	:	716-323-0645

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	02/27/2025

Similar Medicare Providers

1396376810 — JESSICA TOSCANO LCSW
Practice Location Address:

1028 MAIN ST
BUFFALO, NY
14202-1102

Practice Phone: 716-859-5454
Practice Fax: 716-859-5585

1053387944 — EVELYN COGGINS MD
Practice Location Address:

1010 MAIN ST
BUFFALO, NY
14202-1102

Practice Phone: 716-898-1675
Practice Fax:

1215995535 — DR. GIL I WOLFE MD
Practice Location Address:

1010 MAIN ST
BUFFALO, NY
14202-1102

Practice Phone: 716-323-0556
Practice Fax: 716-323-6674

1740211572 — MR. SEAN P KNOCHE LCSW
Practice Location Address:

1010 MAIN ST
BUFFALO, NY
14202-1102

Practice Phone: 718-859-4807
Practice Fax:

1316960057 — MICHELE RENEE LAURIA MD, MS
Practice Location Address:

1001 MAIN ST , CONVENTUS BUILDING 3RD FLOOR
BUFFALO, NY
14202-1102

Practice Phone: 716-323-6210
Practice Fax: 716-323-6691

1275645640 — CHRISTINE DIETZ LCSW
Practice Location Address:

1010 MAIN ST
BUFFALO, NY
14202-1102

Practice Phone: 716-859-4726
Practice Fax: 716-859-4818

Directions to “UNIVERSITY NEUROLOGY, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.