Basic Information
| Provider Information | |||||||||
| NPI: | 1093147027 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | ARRANT SURGICAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 MICHIGAN AVE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142031536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168545700 | ||||||||
| FaxNumber: | 7168403387 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 MICHIGAN AVE | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142031536 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168545700 | ||||||||
| FaxNumber: | 7168403387 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/01/2013 | ||||||||
| LastUpdateDate: | 08/01/2013 | ||||||||
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| AuthorizedOfficialLastName: | NOSOWICZ | ||||||||
| AuthorizedOfficialFirstName: | TAMMY | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | ASST OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7168545700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 198878 | NY | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.