Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Sep 18, 2019
License(s)
344634 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 184 BARTON ST | Buffalo, NY 14213-1573 | 716-881-6191 |
| MAILING | 184 BARTON ST | Buffalo, NY 14213-1573 | 716-348-3000 |
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