Basic Information
Provider Information
NPI: 1003876665
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POSS
FirstName: JAMES
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6255 SHERIDAN DR
Address2: SUITE 304
City: WILLIAMSVILLE
State: NY
PostalCode: 142214836
CountryCode: US
TelephoneNumber: 7168578666
FaxNumber: 7166301054
Practice Location
Address1: 3900 N BUFFALO ST
Address2:  
City: ORCHARD PARK
State: NY
PostalCode: 141271842
CountryCode: US
TelephoneNumber: 7168234962
FaxNumber: 7168234962
Other Information
ProviderEnumerationDate: 03/27/2006
LastUpdateDate: 03/05/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X278579NYY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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