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Individual

ERIKA CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 MAIN ST, RANDOLPH, NY 14772-1131
(716) 358-2340
(716) 358-2350
Mailing address
111 MAIN ST, RANDOLPH, NY 14772-1131
(716) 358-2340
(716) 358-2350

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172279
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010261902
UNIVERA
NY
01
000511511006
BC/BS
NY
05
01042479
NY
01
0110256
IHA
NY
Enumeration date
10/05/2005
Last updated
08/26/2014
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