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Organization
WESTERN NEW YORK DERMATOLOGY, PLLC
Active
Organization
WESTERN NEW YORK DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY WITTMEYER (BUSINESS MANAGER/CONSULTANT)
(716) 831-2600
Entity
Organization
Contact information
Practice address
297 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7894
(716) 831-2600
Mailing address
297 SPINDRIFT DR, WILLIAMSVILLE, NY 14221-7894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/10/2014
Last updated
10/23/2020
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