National Provider Identifier
Brandon Michael Fyock, DO
Brandon Michael Fyock, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Hamburg, NY and a listed phone number of (716) 646-6700.
Profile Overview
- NPI
- 1780047241
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 01, 2016
- Last Updated
- December 06, 2021
Practice Location
- 3040 Amsdell RD
- Hamburg, NY 14075-5835
Phone: (716) 646-6700
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1780047241
- Entity Type
- Individual
- Last Name
- Fyock
- First Name
- Brandon
- Middle Name
- Michael
- Credential
- DO
- Mailing Street Address
- 3040 Amsdell RD
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-5835
- Mailing Country
- US
- Mailing Phone
- (716) 646-6700
- Practice Street Address
- 3040 Amsdell RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-5835
- Practice Country
- US
- Practice Phone
- (716) 646-6700
- Practice Fax
- (716) 646-8515
- Enumeration Date
- April 01, 2016
- Last Updated
- December 06, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 06, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)