Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Sep 17, 2012
License(s)
280218 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 462 GRIDER ST | Buffalo, NY 14215-3021 | 732-235-8993 |
| MAILING | 908 NIAGARA FALLS BLVD STE 208 | North Tonawanda, NY 14120-2019 | 716-692-3302 |
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