| Susan Baldassari Md | |
|
3673 Delaware Ave Kenmore NY 14217-1113 | |
| (716) 871-0003 | |
| (716) 871-0266 |
| Full Name | Susan Baldassari Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 3673 Delaware Ave, Kenmore, New York |
| Authorized Official Name and Position | Susan Baldassari (MD/SOLE PROPRIETOR) |
| Authorized Official Contact | 7168710003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Baldassari Md 3673 Delaware Ave Kenmore NY 14217-1113 Ph: (716) 871-0003 | Susan Baldassari Md 3673 Delaware Ave Kenmore NY 14217-1113 Ph: (716) 871-0003 |
| NPI Number | 1134516735 |
|---|---|
| Provider Enumeration Date | 04/21/2015 |
| Last Update Date | 04/21/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134516735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 167163-1 (New York) | Primary |
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