Individual
ALBERTO REYES PANCRUDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1475
Mailing address
111 PARKVIEW RD, ELMSFORD, NY 10523-3819
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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