Team Excellence Health | |
1502 Niagara St Apt 604 Buffalo NY 14213-1182 | |
(716) 402-8899 | |
Not Available |
Full Name | Team Excellence Health |
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Speciality | Family Medicine |
Location | 1502 Niagara St Apt 604, Buffalo, New York |
Authorized Official Name and Position | Enaame L Farrell (OWNER/PROVIDER) |
Authorized Official Contact | 7164028899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Team Excellence Health 1502 Niagara St Apt 604 Buffalo NY 14213-1182 Ph: (716) 402-8899 | Team Excellence Health 1502 Niagara St Apt 604 Buffalo NY 14213-1182 Ph: (716) 402-8899 |
NPI Number | 1568932945 |
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Provider Enumeration Date | 11/28/2018 |
Last Update Date | 11/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568932945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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