Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Academic Buffalonias in Physical Medicine & Rehabilitation PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1063711992

Academic Buffalonias in Physical Medicine & Rehabilitation PC provides Physical Medicine & Rehabilitation Physician services in Buffalo, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2121 Main St Ste 112
Buffalo, NY 14214-2693 Not confirmed with CMS for 13 years — call before visiting
Phone: (716) 832-1000
Fax: (716) 832-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 216631 (NY)

Record details

NPI number1063711992
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Wang — President · (716) 832-1000
NPI enumeratedMarch 17, 2011
Last updated in NPPESOctober 4, 2013
Mailing address2121 Main St, Suite 210 Seton Bldg., Buffalo, NY 14214-2693

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