Urban Family Practice Pc

NPI 1164594099 - Physician Assistant - 363AM0700X

NPI Details
NPI 1164594099
Enumeration Date 11/15/2006
Last Updated 08/22/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name RAUL RAUL
Position PRESIDENT
Phone (716) 882-0366
Fax (716) 884-8096
Practice Location
564 NIAGARA STREET
BUFFALO NY, 14201, US
Phone (716) 882-0366
Fax (716) 884-8096
Business Location
564 NIAGARA STREET
BUFFALO NY, 14201, US
Phone (716) 882-0366
Fax (716) 884-8096
Toxanomy
Taxonomy Code 363AM0700X
License State New York
License Number 010025
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According to our database, Urban Family Practice Pc NPI is 1164594099, taxonomy code is 363AM0700X and license number is 010025, license state is located at New York. Urban Family Practice Pc physically located at 564 Niagara Street, Buffalo NY, 14201. NPI Number 1033115704 has the healthcare provider type.

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1164594099 NPI number is provided on an as is basis without warranty of any kind. 1164594099 is maintained by the National Plan & Provider Enumeration System. The contents of Urban Family Practice Pc are for informational purposes only.