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Organization
EASTERN NIAGARA HOSPITAL INC
Active
Organization
EASTERN NIAGARA HOSPITAL INC
Active
Other names
Hospitalist Group of Eastern Niagara
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ICKOWSKI (CFO)
(716) 514-5700
Entity
Organization
Contact information
Practice address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5700
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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