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NPI Code Detail

MEDICARE: BARBARA STEFANICK MD

MEDICARE: BARBARA STEFANICK 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
1207ZP0101XAnatomic Pathology Physician210770-1NY

General Provider Information

NPI Number : 1730150384
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA STEFANICK MD
Provider Business Mailing Address
First Line : PO BOX 8000 DEPT 173
Second Line :
City : BUFFALO
State : NY
Zip : 14267-0002
Country : US
Telephone Number : 716-529-3990
Fax Number : 165-293-9927
Provider Business Practice Location Address
First Line : 2157 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-2648
Country : US
Telephone Number : 716-862-1000
Fax Number : 716-529-3992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2006
Last Update Date : 12/09/2020

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