# MASON NURSE PRACTITIONER IN FAMILY MEDICINE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811124084
- **Authorized official:** VERONICA V MASON NP (OWNER)
- **Authorized official phone:** (716) 216-4424

## Contact information

- **Practice address:** 2131 SAWYER DR, SUITE 6, NIAGARA FALLS, NY 14304-2979
- **Practice address phone:** (716) 216-4424
- **Mailing address:** 2131 SAWYER DR STE 6, NIAGARA FALLS, NY 14304-2979
- **Mailing address phone:** (716) 216-4424
- **Mailing address fax:** (716) 216-4426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 333243 | NY | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 12/22/2022