Individual
DIVJOT KAUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18 LIMESTONE DR STE 5, WILLIAMSVILLE, NY 14221-8602
(716) 852-4772
Mailing address
PO BOX 488, BUFFALO, NY 14240-0488
(716) 852-4772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032083
NY
Other
Enumeration date
08/15/2024
Last updated
08/23/2024
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