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Organization
HEALTH SYSTEM PHYSICIAN PC
Active
Organization
HEALTH SYSTEM PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M OWENS MD (PRESIDENT)
(716) 375-6170
Entity
Organization
Contact information
Practice address
401 N 8TH ST, OLEAN, NY 14760-2237
(716) 379-8113
(716) 379-8115
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 799-1462
(833) 953-2016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03885412
—
NY
05
—
103574732
—
PA
Enumeration date
11/21/2013
Last updated
05/20/2022
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