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Organization
WNY BREAST MED AND SURG CARE,PC
Active
Organization
WNY BREAST MED AND SURG CARE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ANN KELLEY M.D. (PRESIDENT)
(716) 867-9177
Entity
Organization
Contact information
Practice address
55 SOUTHWICK DR, ORCHARD PARK, NY 14127-1650
(716) 897-9177
Mailing address
55 SOUTHWICK DR, ORCHARD PARK, NY 14127-1650
(716) 897-9177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
164393-1
NY
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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