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Individual

SUSAN J RIBES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3085 SOUTHWESTERN BLVD, STE 102, ORCHARD PARK, NY 14127
(716) 675-5252
(716) 675-9163
Mailing address
PO BOX 545, ORCHARD PARK, NY 14127-0545
(716) 675-5252
(716) 675-9163

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
04127
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010254101
UNIVERA
NY
01
0005041782
BCBS
NY
05
01063309
NY
01
041781
PTAN
NY
Enumeration date
03/10/2006
Last updated
08/16/2022
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