Provider Demographics
NPI:1568721280
Name:DUFFY, BRIAN MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:MICHAEL
Last Name:DUFFY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3435 MAIN STREET
Mailing Address - Street 2:252A FARBER HALL
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-3013
Mailing Address - Country:US
Mailing Address - Phone:716-829-6103
Mailing Address - Fax:716-829-3640
Practice Address - Street 1:3435 MAIN ST
Practice Address - Street 2:252A FARBER HALL
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3001
Practice Address - Country:US
Practice Address - Phone:716-829-6103
Practice Address - Fax:716-829-3640
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2016-07-19
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Provider Licenses
StateLicense IDTaxonomies
NY284563207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology