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Organization
GREATER BUFFALO UNITED ACCOUNTABLE CARE ORGANIZATION,LLC
Active
Organization
GREATER BUFFALO UNITED ACCOUNTABLE CARE ORGANIZATION,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL VAZQUEZ M.D. (CEO)
(716) 830-4840
Entity
Organization
Contact information
Practice address
564 NIAGARA ST, REAR, BUFFALO, NY 14201-1108
(716) 247-5282
(716) 884-8096
Mailing address
229 W GENESEE ST, PO BOX 877, BUFFALO, NY 14201-7099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185052
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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