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Organization
SUSAN BALDASSARI MD
Active
Organization
SUSAN BALDASSARI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BALDASSARI MD (MD/SOLE PROPRIETOR)
(716) 871-0003
Entity
Organization
Contact information
Practice address
3673 DELAWARE AVE, KENMORE, NY 14217-1113
(716) 871-0003
(716) 871-0266
Mailing address
3673 DELAWARE AVE, KENMORE, NY 14217-1113
(716) 871-0003
(716) 871-0266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
167163-1
NY
Other
Enumeration date
04/21/2015
Last updated
04/21/2015
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