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Organization

KENMORE FAMILY MEDICINE

Active
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Organization

KENMORE FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JENNIFER LASKOWSKI (OFFICE MANAGE)
(716) 875-6700
Entity
Organization

Contact information

Practice address
2914 ELMWOOD AVE, KENMORE, NY 14217-1332
(716) 875-6700
(716) 875-6853
Mailing address
2914 ELMWOOD AVE, KENMORE, NY 14217-1332
(716) 875-6700
(716) 875-6853

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
848683
NY

Other

Enumeration date
02/10/2016
Last updated
04/11/2016
About Stedi
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  • EDI platform