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1360 North Forest Road Suite 115 Williamsville NY 14221-1200 | |
| (716) 650-3000 | |
| (716) 650-3090 |
| Full Name | |
|---|---|
| Speciality | Pain Medicine - Pain Medicine |
| Location | 1360 North Forest Road, Williamsville, New York |
| Authorized Official Name and Position | Romanth Waghmarae (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7166503000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1360 North Forest Road Suite 115 Williamsville NY 14221-1200 Ph: (716) 650-3000 | 1360 North Forest Road Suite 115 Williamsville NY 14221-1200 Ph: (716) 650-3000 |
| NPI Number | 1689123929 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 10/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689123929 | NPI | - | NPPES |
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