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Organization
OLIVIA SMITH-BLACKWELL MD PC
Active
Organization
OLIVIA SMITH-BLACKWELL MD PC
Active
Other names
MEADOW FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA SMITH-BLACKWELL MD (OWNER)
(716) 693-4600
Entity
Organization
Contact information
Practice address
533 MEADOW DR, #2, NORTH TONAWANDA, NY 14120-2835
(716) 693-4600
(716) 693-4807
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02632800
—
NY
Enumeration date
06/22/2006
Last updated
01/26/2011
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