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Individual

NICOLE C SCOVAZZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
30 N UNION RD STE 104, BUFFALO, NY 14221-5367
(716) 565-3990
(716) 565-3988
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
012391
NY

Other

Enumeration date
01/28/2008
Last updated
04/03/2018
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