Stephanie T. Damodar P.A.

NPI 1790864148 - Physician Assistant - 363A00000X

NPI Details
NPI 1790864148
Gender Female
Enumeration Date 11/06/2006
Last Updated 12/01/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
565 ABBOTT RD
BUFFALO NY, 14220-2039, US
Phone (716) 725-1654
Fax
Business Location
565 ABBOTT RD
BUFFALO NY, 14220-2039, US
Phone (716) 725-1654
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 010938
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According to our database, Stephanie T. Damodar P.A. NPI is 1790864148, taxonomy code is 363A00000X and license number is 010938, license state is located at New York. Stephanie T. Damodar P.A. physically located at 565 Abbott Rd, Buffalo NY, 14220-2039. NPI Number Stephanie T. Damodar P.A. has the Individual type.

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1790864148 NPI number is provided on an as is basis without warranty of any kind. 1790864148 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie T. Damodar P.A. are for informational purposes only.