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Organization

VAWNYHS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUY DITURSI DDS (CHIEF, DENTAL SERVICE)
(716) 862-8738
Entity
Organization

Contact information

Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-8738
Mailing address
135 PEPPERTREE DR, APT 9, AMHERST, NY 14228-2919
(724) 456-0855

Taxonomy

Speciality
Code
Description
License number
State
2865X1600X
Operational (Transportable) Military General Acute Care Hospital
Primary
390200000X
NY

Other

Enumeration date
10/08/2010
Last updated
10/08/2010
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