Organization
KALEIDA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE MIESS PT (PHYSICAL THERAPIST)
(716) 816-4739
Entity
Organization
Contact information
Practice address
1045 W. DELAVAN AVE, BUFFALO, NY 14209
(716) 816-3155
Mailing address
1045 W DELAVAN AVE, BUFFALO, NY 14209-1313
(716) 816-3155
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
455029
NY
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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