BUFFALO SHORE MEDICAL PLLC (NPI# 1114402922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114402922 |
| Entity Type | Organization |
| Organization Name | BUFFALO SHORE MEDICAL PLLC |
| Practice Address |
3800 Delaware Ave Kenmore NY 14217-1094 |
| Mailing Address |
485 Cayuga Rd Buffalo NY 14225-1368 |
| Practice Telephone | 7168733828 |
| Practice Fax Number | 7168735463 |
| Mailing Telephone | 7162064590 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | DR. SATISH SHARMA (PRESIDENT) |
| Authorized Official Telephone | 7162064590 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3800 DELAWARE AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952306201 | David B Lillie | Specialist | 3800 Delaware Ave, Ste 104, Kenmore, NY 14217-1094 | 2005-06-14 |
| 1841639168 | Susan Eluard | Internal Medicine | 3800 Delaware Ave, Kenmore, NY 14217-1094 | 2013-06-19 |
| 1366791998 | Alan M Antfleck Physician Pllc | Internal Medicine | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | 2012-08-29 |
| 1982971727 | George A Haddad Md PC | Legal Medicine | 3800 Delaware Ave, Suite 100, Kenmore, NY 14217-1094 | 2011-11-22 |
| 1750680609 | Julie A Gavin Md Obgyn Pllc | Obstetrics & Gynecology | 3800 Delaware Ave, Kenmore, NY 14217-1094 | 2011-03-17 |
| 1023291739 | Donald P. Copley Md PC | Internal Medicine | 3800 Delaware Ave, Suite 106, Kenmore, NY 14217-1094 | 2007-12-17 |
| 1154488351 | George A Haddad | Internal Medicine | 3800 Delaware Ave, Suite 100, Kenmore, NY 14217 | 2007-01-03 |
| 1154365559 | Alan Martin Antfleck | Internal Medicine | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | 2006-06-15 |
| 1245296557 | Donald P Copley | Internal Medicine | 3800 Delaware Ave, Suite 106, Kenmore, NY 14217-1094 | 2006-04-25 |
| 1710941661 | Alain Eluard | Internal Medicine | 3800 Delaware Ave, Kenmore, NY 14217-1094 | 2006-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.