Organization
OLEAN MEDICAL GROUP PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE STRADE (CEO)
(716) 372-0141
Entity
Organization
Contact information
Practice address
6133 ROUTE 219, SUITE 1006, ELLICOTTVILLE, NY 14731
(716) 699-4332
(716) 699-4307
Mailing address
6133 ROUTE 219 S STE 1006, SUITE 1006, ELLICOTTVILLE, NY 14731-9613
(716) 699-4332
(716) 699-4307
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03012140
—
NY
Enumeration date
10/13/2006
Last updated
09/20/2021
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