Buffomante, Russell Joseph

Buffomante, Russell Joseph is an sole proprietor health care provider with primary practice located at 6500 Main St Suite #4, Williamsville NY 14221-5854. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Buffomante, Russell Joseph can be contacted via phone (716) 633-9963.

Contact Information

Primary practice address
6500 Main St Suite #4 Williamsville NY 14221-5854
Fax: (716) 633-9964
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 30810 New York

Profile Details

NPI number 1760538607
LBN Legal business name Buffomante, Russell Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760538607 NPPES
New York Other 30810 STATE REGISTRATION NUMBER

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