University at Buffalo Pediatric Associates INC

NPI #1912928599 in Buffalo, New York

Provider Information

NPI Number: 1912928599
Entity Type: Organization
Organization Name: University at Buffalo Pediatric Associates INC
Primary Specialty: Pediatrics
Enumeration Date: Jul 21, 2006
Last Updated: Nov 28, 2023

Practice Location

Address: 1001 MAIN ST FL 4
City: Buffalo
State: New York
ZIP Code: 14203-1009
Phone: (716) 323-0225

Authorized Official

Name: MRS. LAURIE JASIN
Title: CREDENTIALING SPECIALIST
Phone: (716) 323-0225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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