| Organization Name: | BUFFALO ULTRASOUND, IDTF |
| NPI Number: | 1013168194 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL STRAECK (PRESIDENT) |
| Mailing Address: | 388 Evans St Williamsville |
| State: | NY US |
| Postal Code: | 142215626 |
| Phone Number: | 7166312262 |
| Fax Number: | 7166318237 |
| NPI Enumeration Date: | 10/07/2008 |
| NPI Last Update Date: | 01/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |