Individual
JOSEPH R TAKATS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
445 TREMONT STREET, NORTH TONAWANDA, NY 14120
(716) 694-4500
Mailing address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 447-8868
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
111714
NY
261QU0200X
Urgent Care Clinic/Center
111714
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00653470
—
NY
01
—
040426001008
FIDELIS
NY
Enumeration date
09/27/2006
Last updated
12/20/2010
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