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Individual

KHRISTINA KASUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4899 TRANSIT RD, DEPEW, NY 14043-4776
(716) 558-5437
Mailing address
4899 TRANSIT RD, DEPEW, NY 14043-4776
(716) 558-5437

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
266667-1
NY

Other

Enumeration date
03/25/2009
Last updated
01/25/2013
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