Individual
MS. NIVEDITA KOHLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH
Contact information
Practice address
511 FARBER LAKES DRIVE, WILLIAMSVILLE, NY 14221
(716) 635-3943
(716) 631-9636
Mailing address
5053 EATBROOKE PL, WILLIAMSVILLE, NY 14221
(716) 635-3943
(716) 631-9636
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
044198
NY
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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