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Individual

MATTHEW JACK PARRISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AGPCNP

Contact information

Practice address
112 ARGYLE AVE, BUFFALO, NY 14226-4282
(585) 749-3263
Mailing address
112 ARGYLE AVE, BUFFALO, NY 14226-4282

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311210
NY

Other

Enumeration date
12/07/2023
Last updated
12/07/2023
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