Provider Demographics
NPI:1821087099
Name:FEMIA, RONALD E (MD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:E
Last Name:FEMIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4925 MAIN STREET
Mailing Address - Street 2:BUFFALO MRI
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-839-3333
Mailing Address - Fax:716-839-3338
Practice Address - Street 1:4925 MAIN ST
Practice Address - Street 2:BUFFALO MRI
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-4000
Practice Address - Country:US
Practice Address - Phone:716-839-3333
Practice Address - Fax:716-839-3338
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1761642085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF28012Medicare UPIN
NYRA0028Medicare PIN