Walcott, Roger

Walcott, Roger is an individual health care provider with primary practice located at 2121 Main St Suite 316, Buffalo NY 14214-2693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Walcott, Roger can be contacted via phone (716) 837-2400.

Contact Information

Primary practice address
2121 Main St Suite 316 Buffalo NY 14214-2693
Phone: (716) 837-2400
Fax: (716) 837-3860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 254532-1 New York

Profile Details

NPI number 1992962302
LBN Legal business name Walcott, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2008
Last updated Feb 23rd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992962302 NPPES
New York MEDICAID 03138965

Popular Providers