PEDIATRIC UROLOGY OF WESTERN NEW YORK P C (NPI# 1104962737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104962737 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC UROLOGY OF WESTERN NEW YORK P C |
| Practice Address |
100 High St, #c2 Buffalo NY 14203 |
| Mailing Address |
65 Lebrun Circle Eggertsville NY 14226-4120 |
| Practice Telephone | 7168597978 |
| Mailing Telephone | 7168787393 |
| Mailing Fax Number | 7168787096 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | PIERRE E WILLIOT (PHYSICIAN) |
| Authorized Official Telephone | 7168597978 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 231942 | NY | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
141541 | NY | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 141541 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01376347 | 05 |
| Street Address |
100 HIGH ST, #C2 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
| Find all providers in zip 14203 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225487879 | Abd El-hamid Khairy | Urology | 21 Spindrift Ct Apt 6, Buffalo, NY 14221-7898 | 2016-06-05 |
| 1457971822 | Ahmed S. Elsayed | Urology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2020-04-25 |
| 1114570868 | Naif Abdullah Aldhaam | Urology | 665 Elm St, Buffalo, NY 14203-1104 | 2019-07-22 |
| 1962987909 | Ahmed Abouelenin | Urology | 665 Elm St, Buffalo, NY 14203-1104 | 2018-09-26 |
| 1568940195 | Arun Ramdas Menon | Urology | 665 Elm St, Buffalo, NY 14203-1104 | 2018-08-06 |
| 1952858839 | Ahmed Aly Hussein Aly | Urology | Elm and Carlton Streets, Buffalo, NY 14263-0001 | 2016-09-08 |
| 1801279989 | Luciano Adolfo Nunez Bragayrac | Urology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2015-07-07 |
| 1598176265 | Urology Associates, Ltd. | Urology | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2014-05-15 |
| 1356786453 | Adam Benjamin Klein | Urology | 100 High St, Buffalo, NY 14203 | 2013-05-02 |
| 1134465404 | Ali Ahmad Ishaq Al-daghmin | Urology | Elm and Carlton St, Cell and Virus Building 216, Buffalo, NY 14263-0001 | 2012-12-14 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.