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NPI Code Detail

MEDICARE: BUFFALO KIDNEY ASSOCIATES, LLP

MEDICARE: BUFFALO KIDNEY ASSOCIATES, 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
1207RN0300XNephrology 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
200030832201OTHERNYUNIVERA GROUP#

General Provider Information

NPI Number : 1992842082
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUFFALO KIDNEY ASSOCIATES, LLP
Provider Business Mailing Address
First Line : 3435 BAILEY AVENUE- SOUTH BUILDING
Second Line :
City : BUFFALO
State : NY
Zip : 14215
Country : US
Telephone Number : 716-835-8615
Fax Number : 716-835-1021
Provider Business Practice Location Address
First Line : 3435 BAILEY AVENUE- SOUTH BUILDING
Second Line :
City : BUFFALO
State : NY
Zip : 14215
Country : US
Telephone Number : 716-835-8615
Fax Number : 716-835-1021
Authorized Official
Title or Position : OFFICE MANAGER
Name : JODI AUSTIN
Credential :
Telephone Number : 716-835-8615
Provider Enumeration Date : 01/30/2007
Last Update Date : 08/22/2020

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Directions to “BUFFALO KIDNEY ASSOCIATES, LLP ” Practice Location

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