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Organization

CLEVELAND HILL MEDICAL GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RHONDA J SCHLENKER (OFFICE MANAGER)
(716) 837-7130
Entity
Organization

Contact information

Practice address
539 CLEVELAND DR, CHEEKTOWAGA, NY 14225-1024
(716) 834-9486
(716) 834-6466
Mailing address
539 CLEVELAND DR, CHEEKTOWAGA, NY 14225-1024
(716) 834-9486
(716) 834-6466

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
178816
NY
207R00000X
Internal Medicine Physician
Primary
161094
NY
207R00000X
Internal Medicine Physician
161110
NY
363LF0000X
Family Nurse Practitioner
F333678
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00886402
NY
05
00889592
NY
05
01246611
NY
Enumeration date
05/26/2006
Last updated
03/26/2010
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