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Organization
TARIK ELIBOL, MD
Active
Organization
TARIK ELIBOL, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIK ELIBOL M.D. (OWNER)
(716) 876-4033
Entity
Organization
Contact information
Practice address
2949 ELMWOOD AVE, STE 202, KENMORE, NY 14217-1356
(716) 876-4033
(716) 873-3085
Mailing address
2949 ELMWOOD AVE, STE 202, KENMORE, NY 14217-1356
(716) 876-4033
(716) 873-3085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
102346-1
NY
Other
Enumeration date
01/19/2014
Last updated
01/19/2014
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