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Individual

DR. THOMAS E SCHENK

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
1131 DELAWARE AVE, BUFFALO, NY 14209-1603
(716) 884-0230
(716) 884-2415
Mailing address
1131 DELAWARE AVE, BUFFALO, NY 14209-1603
(716) 884-0230
(716) 884-2415

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
217528
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00025593701
UNIVERA
NY
05
02161773
NY
01
1211228
INDEPENDENT HEALTH ASSOC
NY
Enumeration date
12/15/2005
Last updated
07/08/2007
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