Organization
EASTERN NIAGARA RADIOLOGY & NUCLEAR MEDICINE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE ALLEN (MANAGER)
(315) 462-2633
Entity
Organization
Contact information
Practice address
222 GENESEE ST, BUFFALO, NY 14203-1512
(716) 855-2866
Mailing address
222 GENESEE ST, BUFFALO, NY 14203-1512
(716) 855-2866
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01787099
—
NY
Enumeration date
06/17/2006
Last updated
10/11/2007
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