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Organization
KENWOOD PEDIATRICS
Active
Organization
KENWOOD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE DIMITROFF M.D. (PHYSICIAN)
(716) 838-6655
Entity
Organization
Contact information
Practice address
2121 MAIN ST, STE 119, BUFFALO, NY 14214
(716) 838-6655
Mailing address
381 KENMORE AVE, BUFFALO, NY 14223-2861
(716) 838-1560
(716) 833-1221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
07/18/2007
Last updated
04/20/2020
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