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NPI Code Detail

MEDICARE: EXCELSIOR ORTHOPAEDICS LLP

MEDICARE: EXCELSIOR ORTHOPAEDICS LLP
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
2207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1831196757
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELSIOR ORTHOPAEDICS LLP
Provider Business Mailing Address
First Line : 3925 SHERIDAN DRIVE
Second Line :
City : AMHERST
State : NY
Zip : 14226-1738
Country : US
Telephone Number : 716-250-9999
Fax Number : 716-250-6555
Provider Business Practice Location Address
First Line : 3925 SHERIDAN DRIVE
Second Line :
City : AMHERST
State : NY
Zip : 14226-1738
Country : US
Telephone Number : 716-250-9999
Fax Number : 716-250-6555
Authorized Official
Title or Position : EXCECUTIVE ASSISTANT
Name : LISA LASKI
Credential :
Telephone Number : 716-250-6409
Provider Enumeration Date : 07/07/2005
Last Update Date : 03/10/2022

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Directions to “EXCELSIOR ORTHOPAEDICS LLP ” Practice Location

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