Provider Demographics
NPI:1992774400
Name:BUDNY, JAMES L (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:BUDNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:27 BURBANK TER
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2614
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3980 SHERIDAN DR
Practice Address - Street 2:SUITE 501
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1727
Practice Address - Country:US
Practice Address - Phone:716-218-1000
Practice Address - Fax:716-650-2691
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134533207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0601711OtherINDEPENDENT HEALTH
NY00010022202OtherUNIVERA
NY00588601Medicaid
NYCNS/134533OtherWORKERS COMPENSATION
NY00507761004OtherBLUE CROSS OF WNY
NY00588601Medicaid
NYRA5095Medicare ID - Type UnspecifiedPROVIDER NUMBER