Organization
CRESCENT MEDICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY ROWE (BILLER)
(716) 649-0887
Entity
Organization
Contact information
Practice address
1263 DELAWARE AVE, BUFFALO, NY 14209-2402
(716) 886-8200
Mailing address
136 SOBIESKI ST, BUFFALO, NY 14212-1506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01614204
—
NY
Enumeration date
04/08/2021
Last updated
08/26/2022
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