Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Jan 11, 2007
License(s)
225100 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 267 LONDONDERRY LN | Getzville, NY 14068-1182 | 716-636-0255 |
| LOCATION | 425 MICHIGAN AVE | Buffalo, NY 14203-2209 | 716-848-2123 |
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