Individual
CORY DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 908-1516
Mailing address
8276 GREINER RD, BUFFALO, NY 14221-2817
(716) 908-1516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F309295-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F309295-01
NY
Other
Enumeration date
04/14/2020
Last updated
06/06/2024
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