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Individual

MR. JOHN R HAWK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP-ADULT

Contact information

Practice address
3 GATES CIRCLE, BUFFALO, NY 14209-1120
(716) 887-4600
Mailing address
875 ELLICOTT ST, BUFFALO, NY 14203-1070
(716) 887-4600

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
30 305079
NY

Other

Enumeration date
01/13/2010
Last updated
04/25/2016
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