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Organization
EDDIE MAS MDPC
Active
Organization
EDDIE MAS MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE MARIE MAS (OFFICE MANAGER)
(716) 823-3300
Entity
Organization
Contact information
Practice address
172 SLADE AVE, WEST SENECA, NY 14224-2643
(716) 823-3300
(716) 823-0757
Mailing address
172 SLADE AVE, WEST SENECA, NY 14224-2643
(716) 823-3300
(716) 823-0757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
187156
NY
Other
Enumeration date
02/04/2008
Last updated
03/13/2008
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