| Cedar Pediatrics Pllc | |
|
1010 Main St Buffalo NY 14202-1102 | |
| (716) 570-0524 | |
| Not Available |
| Full Name | Cedar Pediatrics Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1010 Main St, Buffalo, New York |
| Authorized Official Name and Position | Stephanie Fretz (OWNER) |
| Authorized Official Contact | 7165700524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Pediatrics Pllc 120 Berryman Dr Amherst NY 14226-4374 Ph: () - | Cedar Pediatrics Pllc 1010 Main St Buffalo NY 14202-1102 Ph: (716) 570-0524 |
| NPI Number | 1639685464 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639685464 | NPI | - | NPPES |
| 01650600 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 200115-1 (New York) | Primary |
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