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Individual

MRS. KELLIE N SCHWARTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
(716) 631-9525
Mailing address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
(716) 631-9525

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010928
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9513121
INDEPENDENT HEALTH
NY
Enumeration date
04/26/2006
Last updated
03/25/2014
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