National Provider Identifier

Herman S. Mogavero, M.D.

Herman S. Mogavero, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Buffalo, NY and a listed phone number of (716) 857-8615.

NPI 1841257078Buffalo, NYDermatology Physician

Profile Overview

NPI
1841257078
Provider Type
Individual
Primary Specialty
Dermatology Physician
Enumeration Date
May 01, 2006
Last Updated
December 06, 2021

Practice Location

  • 85 High St
  • Buffalo, NY 14203-1149

Phone: (716) 857-8615

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-5782

Specialties

  • Dermatology Physician (207N00000X)

Endpoints

  • production@direct.buffalomedicalgroup.com

    Direct Messaging Address | Buffalo, NY 14203

Full Record
NPI
1841257078
Entity Type
Individual
Last Name
Mogavero
First Name
Herman
Middle Name
S.
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5782
Mailing Country
US
Mailing Phone
(716) 630-1219
Mailing Fax
(716) 817-1726
Practice Street Address
85 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1149
Practice Country
US
Practice Phone
(716) 857-8615
Practice Fax
(716) 250-5942
Enumeration Date
May 01, 2006
Last Updated
December 06, 2021
Sex
Male
Sole Proprietor
No
Certification Date
December 06, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatology Physician (207N00000X)
Other Identifiers
161000580 (NY, Empire), 000508601001 (NY, Helath Now), 00010120501 (NY, Univera), 0021748 (NY, Ghi), 0300549 (NY, Iha), 070003237 (NY, Rr Medicare), 131152-1W (NY, Workers Compensation), 00721962 (NY), 161000580 (NY, North American Preferred)