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Organization
EMG SPINE AND SPORTS MEDICINE, LLC
Active
Organization
EMG SPINE AND SPORTS MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAHIR M QAZI M.D. (PRESIDENT)
(716) 692-4020
Entity
Organization
Contact information
Practice address
80 MEAD ST, NORTH TONAWANDA, NY 14120-4435
(716) 692-4020
(716) 692-5090
Mailing address
338 HARRIS HILL ROAD, SUITE 207, WILLIAMSVILLE, NY 14221
(716) 634-4798
(716) 634-0987
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
236351-1
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
236351
NY
Other
Enumeration date
10/03/2006
Last updated
01/31/2012
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