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Organization
PREMIER FAMILY PHYSICIANS, P.C.
Active
Organization
PREMIER FAMILY PHYSICIANS, P.C.
Active
Other names
Nita K. Divan, M.D., P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITA K DIVAN M.D. (OWNER)
(716) 688-7344
Entity
Organization
Contact information
Practice address
1150 YOUNGS RD, SUITE 203, WILLIAMSVILLE, NY 14221-8053
(716) 688-7344
(716) 688-7345
Mailing address
PO BOX 1528, WILLIAMSVILLE, NY 14231-1528
(716) 688-7344
(716) 688-7345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01657107
—
NY
Enumeration date
01/17/2008
Last updated
12/19/2009
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