DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BAW SU

Active Sole Proprietor

BAW SU is a Podiatric Surgery healthcare provider located in N TONAWANDA, New York. NPI 1316560105 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · N TONAWANDA, NY

Registration Details

NPI Number
1316560105
Provider Type
Individual
Gender
Male
NPI Issued
May 27, 2020 (6.2448284286614 yrs)
Last Updated
May 27, 2020
Sole Proprietor
Yes

Practice Information

Address
341 OLIVER ST
N TONAWANDA, NY, 141207227
Browse NY providers · Browse ZIP 14120
Phone
7166286370
Primary Specialty
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.