National Provider Identifier
Reza Banifatemi, MD
Reza Banifatemi, MD is listed in the NPPES registry with a primary specialty of Cardiovascular Disease Physician in Williamsville, NY and a listed phone number of (716) 710-8266.
Profile Overview
- NPI
- 1205884533
- Provider Type
- Individual
- Primary Specialty
- Cardiovascular Disease Physician
- Enumeration Date
- May 05, 2006
- Last Updated
- November 08, 2017
Practice Location
- 705 Maple RD Ste 300
- Williamsville, NY 14221-3291
Phone: (716) 710-8266
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1205884533
- Entity Type
- Individual
- Last Name
- Banifatemi
- First Name
- Reza
- Credential
- MD
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 705 Maple RD Ste 300
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3291
- Practice Country
- US
- Practice Phone
- (716) 710-8266
- Practice Fax
- (716) 710-8267
- Enumeration Date
- May 05, 2006
- Last Updated
- November 08, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Cardiovascular Disease Physician (207RC0000X)
- Other Identifiers
- 03390076 (NY)