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Individual

ERIC TENBROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2271
Mailing address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-2271

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
163893
NY
207RS0012X
Sleep Medicine (Internal Medicine) Physician
163893
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010178001
EXCELLUS UNIVERA
NY
01
005008291
HEALTH NOW
NY
05
00917588
NY
01
2807576
INDEPENDENT HEALTH
NY
Enumeration date
09/26/2006
Last updated
07/05/2016
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