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Organization
PAIN MANAGEMENT AND HEADACHE MEDICINE
Active
Organization
PAIN MANAGEMENT AND HEADACHE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF F HENRY M.D. (PRESIDENT)
(716) 634-4798
Entity
Organization
Contact information
Practice address
2121 MAIN ST, SUITE 112, BUFFALO, NY 14214-2693
(716) 832-1107
(716) 832-1108
Mailing address
338 HARRIS HILL RD, SUITE 207, WILLIAMSVILLE, NY 14221-7407
(716) 634-4798
(716) 634-0987
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
236106
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
236106
NY
Other
Enumeration date
09/26/2006
Last updated
01/31/2013
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