National Provider Identifier
Podiatry Surgeon Of Wny PC
Podiatry Surgeon Of Wny PC is listed in the NPPES registry with a primary specialty of Podiatrist in Kenmore, NY and a listed phone number of (716) 874-5540.
Source: public NPPES record, last updated October 10, 2008. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1063490837
- Provider Type
- Organization
- Primary Specialty
- Podiatrist
- Enumeration Date
- January 03, 2006
- Last Updated
- October 10, 2008
Practice Location
- 80 Delaware RD
- Kenmore, NY 14217
Phone: (716) 874-5540
Authorized Official
- Name
- Dr. James C Burruano
- Title
- Podiatrist Owner
- Credentials
- DPM
- Phone
- (716) 874-5540
Specialties
- Podiatrist (213E00000X)
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Full Record
- NPI
- 1063490837
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Podiatry Surgeon Of Wny PC
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 80 Delaware RD
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217
- Mailing Country
- US
- Mailing Phone
- (716) 874-5540
- Mailing Fax
- (716) 874-0696
- Practice Street Address
- 80 Delaware RD
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217
- Practice Country
- US
- Practice Phone
- (716) 874-5540
- Practice Fax
- (716) 874-0696
- Enumeration Date
- January 03, 2006
- Last Updated
- October 10, 2008
- Authorized Official Last Name
- Burruano
- Authorized Official First Name
- James
- Authorized Official Middle Name
- C
- Authorized Official Title
- Podiatrist Owner
- Authorized Official Phone
- (716) 874-5540
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Dr.
- Authorized Official Credential Text
- DPM
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Podiatrist (213E00000X)