Breast Screening Center of Wny

Primary specialty

Mammography Clinic/CenterTaxonomy code 261QR0206X

Legal business name

BREAST SCREENING CENTER OF WNY

Practice address

2828 Main St
Buffalo, NY 14214-1722

Phone

(716) 838-1300

Fax

(716) 837-7725

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Saleh A Fetouh, MDNPI 1912014507

Title

Director

Phone

(716) 838-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Breast Screening Center of Wny2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Saleh a. Fetouh, M.D., PC

  • Mammography Clinic/Center
  • Buffalo, NY
  • NPI 1346411675
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Saleh A Fetouh, MD

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1912014507
  NPD (past) Authorized official

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1558539627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141722",
            "telephone_number": "716-838-1300",
            "fax_number": "716-837-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141722",
            "telephone_number": "716-838-1300",
            "fax_number": "716-837-7725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST SCREENING CENTER OF WNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "FETOUH",
        "authorized_official_first_name": "SALEH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "716-838-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00610725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julian A Braunstein
• Emily Brautman, LMHC
• Robert Patrick Brawn, DO
• Ndea Annmarie Brazzle
• Joseph Anthony Brazzo III, MD
• Martin Brecher, MD
• John Breckner
• Jordan Breckon
• Tina M Bredt
• Lindsey Brehm

• Mammography Clinic/Center in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Mammography Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.