Provider Demographics
NPI:1750005526
Name:ALLIED PHYSICIANS OF BUFFALO, PC
Entity type:Organization
Organization Name:ALLIED PHYSICIANS OF BUFFALO, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:SEGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:585-507-3251
Mailing Address - Street 1:9530 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1915
Mailing Address - Country:US
Mailing Address - Phone:585-507-3251
Mailing Address - Fax:716-320-3230
Practice Address - Street 1:9530 MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1915
Practice Address - Country:US
Practice Address - Phone:716-320-3220
Practice Address - Fax:716-320-3230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty