Provider Demographics
NPI:1508954686
Name:ORTHOPEDIC SURGERY, P.C.
Entity Type:Organization
Organization Name:ORTHOPEDIC SURGERY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BURAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-639-8358
Mailing Address - Street 1:57 MEADOW SPRING CT
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1396
Mailing Address - Country:US
Mailing Address - Phone:716-639-8358
Mailing Address - Fax:716-639-8352
Practice Address - Street 1:57 MEADOW SPRING CT
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1396
Practice Address - Country:US
Practice Address - Phone:716-639-8358
Practice Address - Fax:716-639-8352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0761Medicare ID - Type Unspecified