National Provider Identifier
Michael Clancy O'Brien, MD, FAAEM
Michael Clancy O'Brien, MD, FAAEM is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (773) 837-2892.
Profile Overview
- NPI
- 1720357353
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- December 28, 2011
- Last Updated
- June 12, 2018
Practice Location
- 462 Grider St
- Department Of Emergency Medicine
- Buffalo, NY 14215
Phone: (773) 837-2892
Mailing Address
- 462 Grider St
- Department Of Emergency Medicine
- Buffalo, NY 14215-3021
Specialties
- Emergency Medicine Physician (207P00000X)
- Emergency Medical Services (Emergency Medicine) Physician (207PE0004X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1720357353
- Entity Type
- Individual
- Last Name
- O'Brien
- First Name
- Michael
- Middle Name
- Clancy
- Credential
- MD, FAAEM
- Mailing Street Address
- 462 Grider St
- Mailing Address Line 2
- Department Of Emergency Medicine
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice Address Line 2
- Department Of Emergency Medicine
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (773) 837-2892
- Practice Fax
- (888) 641-2862
- Enumeration Date
- December 28, 2011
- Last Updated
- June 12, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), Emergency Medicine Physician (207P00000X)