University at Buffalo Neurosurgery, Inc.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

UNIVERSITY AT BUFFALO NEUROSURGERY, INC.

Practice address

180 Park Club LN
Buffalo, NY 14221-5263

Phone

(716) 839-9402

NPI assigned

Apr 8, 2015

Last updated

Aug 27, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Michael Cournyea

Title

Ceo

Phone

(716) 218-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1023404845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LN",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215263",
            "telephone_number": "716-839-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARK CLUB LN",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215263",
            "telephone_number": "716-839-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY AT BUFFALO NEUROSURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "COURNYEA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-218-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02301348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University @ Buffalo Speech-Language and Hearing Clinic
• University at Buffalo
• University at Buffalo
• University at Buffalo Foundations
• University at Buffalo Neurosurgery
• University at Buffalo Otolaryngology, Inc.
• University at Buffalo Pediatric Associates Inc
• University at Buffalo Speech-Language & Hearing Clinic Inc
• University at Buffalo Surgeons Inc
• University Dental Associates, Inc.

• Neurological Surgery Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Neurological Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.