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9070 Main St Clarence NY 14031-1825 | |
(716) 632-3200 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 9070 Main St, Clarence, New York |
Authorized Official Name and Position | Yvonne B Banks (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7166323200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9070 Main St Clarence NY 14031-1825 Ph: (716) 632-3200 | 9070 Main St Clarence NY 14031-1825 Ph: (716) 632-3200 |
NPI Number | 1033836762 |
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Provider Enumeration Date | 10/24/2022 |
Last Update Date | 11/15/2023 |
Certification Date | 11/15/2023 |
Identifier | Type | State | Issuer |
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1033836762 | NPI | - | NPPES |