Provider Demographics
NPI:1477554566
Name:PFOHL, GEORGE W (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:W
Last Name:PFOHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:811 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3260
Mailing Address - Country:US
Mailing Address - Phone:716-631-8888
Mailing Address - Fax:716-631-3803
Practice Address - Street 1:932 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1212
Practice Address - Country:US
Practice Address - Phone:716-884-0880
Practice Address - Fax:716-884-0811
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2016-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY144747207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
180035765OtherRAILROAD MEDICARE
NY00856588Medicaid
BB4754Medicare PIN
180035765OtherRAILROAD MEDICARE