Hens Neurology Pc

NPI 1053732321 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1053732321
Enumeration Date 01/03/2014
Last Updated 01/03/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name GAUTAM GAUTAM
Position MEDICAL DIRECTOR
Phone (716) 276-8375
Fax (716) 276-8381
Practice Location
1829 MAPLE RD
SUITE 102
WILLIAMSVILLE NY, 14221-2700, US
Phone (716) 276-8375
Fax (716) 276-8381
Business Location
1829 MAPLE RD
SUITE 102
WILLIAMSVILLE NY, 14221-2700, US
Phone (716) 276-8375
Fax (716) 276-8381
Toxanomy
Taxonomy Code 2084N0400X
License State New York
License Number 258047-1
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According to our database, Hens Neurology Pc NPI is 1053732321, taxonomy code is 2084N0400X and license number is 258047-1, license state is located at New York. Hens Neurology Pc physically located at 1829 Maple Rd, Williamsville NY, 14221-2700. NPI Number 1033115704 has the healthcare provider type.

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1053732321 NPI number is provided on an as is basis without warranty of any kind. 1053732321 is maintained by the National Plan & Provider Enumeration System. The contents of Hens Neurology Pc are for informational purposes only.