# CLINICAL SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164808820
- **Authorized official:** DR. JAMES NOTARO (PRESIDENT)
- **Authorized official phone:** (716) 541-0273

## Contact information

- **Practice address:** 701 SENECA ST, \#310, BUFFALO, NY 14210-1351
- **Practice address phone:** (716) 541-0273
- **Mailing address:** 701 SENECA ST, \#310, BUFFALO, NY 14210-1351
- **Mailing address phone:** (716) 541-0273

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 060422 | NY | Yes |
| 3336C0003X | Community/Retail Pharmacy | 060422 | NY | — |

## Other

- **Enumeration date:** 08/05/2015
- **Last updated:** 08/05/2015