Individual
HENRY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
43 MOORGATE CT, EAST AMHERST, NY 14051-1221
(716) 688-9301
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
002421-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002421-1
LICENSE
NY
Enumeration date
08/20/2006
Last updated
07/08/2007
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