National Provider Identifier
Ray W Bergenstock Jr., MD
Ray W Bergenstock Jr., MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 834-9200.
Profile Overview
- NPI
- 1346292299
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- May 17, 2006
- Last Updated
- December 13, 2010
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 834-9200
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1346292299
- Entity Type
- Individual
- Last Name
- Bergenstock
- First Name
- Ray
- Middle Name
- W
- Name Suffix
- Jr.
- Credential
- MD
- Mailing Street Address
- 3495 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Mailing Phone
- (716) 834-9200
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 834-9200
- Enumeration Date
- May 17, 2006
- Last Updated
- December 13, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00663534 (NY)