Greater Buffalo United Ipa

NPI 1033484894 - Family Medicine - 207Q00000X

NPI Details
NPI 1033484894
Enumeration Date 03/13/2012
Last Updated 03/13/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RAUL RAUL
Position CHIEF MEDICAL OFFICER
Phone (716) 882-0366
Fax (716) 830-4840
Practice Location
564 NIAGARA ST
BUFFALO NY, 14201-1108, US
Phone (716) 882-0366
Fax (716) 830-4840
Business Location
564 NIAGARA ST
BUFFALO NY, 14201-1108, US
Phone (716) 882-0366
Fax (716) 830-4840
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 185052
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According to our database, Greater Buffalo United Ipa NPI is 1033484894, taxonomy code is 207Q00000X and license number is 185052, license state is located at New York. Greater Buffalo United Ipa physically located at 564 Niagara St, Buffalo NY, 14201-1108. NPI Number 1033115704 has the healthcare provider type.

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1033484894 NPI number is provided on an as is basis without warranty of any kind. 1033484894 is maintained by the National Plan & Provider Enumeration System. The contents of Greater Buffalo United Ipa are for informational purposes only.