National Provider Identifier
Michael Joseph Edbauer, D.O.
Michael Joseph Edbauer, D.O. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Hamburg, NY and a listed phone number of (716) 646-1084.
Profile Overview
- NPI
- 1932105640
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 27, 2005
- Last Updated
- November 30, 2016
Practice Location
- 3040 Amsdell RD
- Hamburg, NY 14075-5835
Phone: (716) 646-1084
Mailing Address
- 2875 Union RD
- Ste 8
- Cheektowaga, NY 14227-1461
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1932105640
- Entity Type
- Individual
- Last Name
- Edbauer
- First Name
- Michael
- Middle Name
- Joseph
- Credential
- D.O.
- Mailing Street Address
- 2875 Union RD
- Mailing Address Line 2
- Ste 8
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14227-1461
- Mailing Country
- US
- Mailing Phone
- (716) 206-1503
- Mailing Fax
- (716) 651-9855
- Practice Street Address
- 3040 Amsdell RD
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075-5835
- Practice Country
- US
- Practice Phone
- (716) 646-1084
- Enumeration Date
- June 27, 2005
- Last Updated
- November 30, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)
- Other Identifiers
- 040426002674 (NY, Fidelis), 000528208005 (NY, Bc/Bs), 1209831 (NY, Indepedent Health), 00010050104 (NY, Univera), 01246139 (NY)