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Organization
RIVER PARK FAMILY MEDICINE, PC
Active
Organization
RIVER PARK FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH LOGALBO DO (DO/OWNER)
(315) 764-1447
Entity
Organization
Contact information
Practice address
15 HOSPITAL DR, SUITE B, MASSENA, NY 13662-1037
(315) 764-1447
(315) 764-1447
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
188335
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632048
—
NY
Enumeration date
01/21/2010
Last updated
01/21/2010
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