Individual
ANTHONY VINCENT STOCKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2055
(716) 828-3472
Mailing address
550 ORCHARD PARK RD, SUITE A101, WEST SENECA, NY 14224-2646
(716) 677-6501
(716) 677-4706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008676-1
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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