Individual
MARIA JEREVASIMEONOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10175 NIAGARA FALLS BLVD STE 1, NIAGARA FALLS, NY 14304-2941
(716) 298-0975
(716) 298-0956
Mailing address
10175 NIAGARA FALLS BLVD STE 1, NIAGARA FALLS, NY 14304-2941
(716) 298-0975
(716) 298-0956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
001001
NY
Other
Enumeration date
11/15/2005
Last updated
04/12/2018
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