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Individual

MAUREEN CONWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
100 COLLEGE PKWY STE 255, WILLIAMSVILLE, NY 14221-6886
(716) 573-1991
Mailing address
100 COLLEGE PKWY STE 255, WILLIAMSVILLE, NY 14221-6886
(716) 573-1991

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
404004
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200350118NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
858593000
BLUE CROSS BLUE SHIELD
OR
Enumeration date
11/29/2006
Last updated
01/05/2024
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