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Individual

DONALD F STORM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3085 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127-1233
(716) 674-1292
(716) 677-4314
Mailing address
3085 SOUTHWESTERN BLVD, STE 104, ORCHARD PARK, NY 14127-1233
(716) 674-1292
(716) 677-4314

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
123440
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000101737001
UNIVERA HEALTHCARE
01
000507133001
BCBS OF WESTERN NEW YORK
05
00611427
NY
01
1200623
INDEPENDENT HEALTH
Enumeration date
02/17/2006
Last updated
07/08/2007
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