Individual
DR. KENTON E FORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
964 DELAWARE AVE, BUFFALO, NY 14209-1806
(716) 886-4202
(716) 884-9168
Mailing address
964 DELAWARE AVE, BUFFALO, NY 14209-1806
(716) 886-4202
(716) 884-9168
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
1656651
NY
208D00000X
General Practice Physician
Primary
165665
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01183146
—
NY
Enumeration date
12/06/2005
Last updated
03/02/2014
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