Individual
DR. LAURA URETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3345 SOUTHWESTERN BLVD, ORCHARD PARK, NY 14127-1506
(716) 656-4899
(716) 250-5929
Mailing address
6255 SHERIDAN DR, SUITE 304, WILLIAMSVILLE, NY 14221-4836
(716) 857-8666
(716) 857-8944
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
133187-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010181601
UNIVERA
NY
01
—
000511479001
HEALTH NOW
NY
01
—
0021748
GHI
NY
05
—
01354989
—
NY
01
—
0304227
IHA
NY
Enumeration date
05/10/2006
Last updated
03/13/2008
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