Organization
GENERAL PHYSICIAN, PC
Active
Parent organization
KALEIDA HEALTH
Other names
OLEAN MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
KALEIDA HEALTH
Authorized official
MARY J COWLES (CREDENTIALING)
(716) 376-2201
Entity
Organization
Contact information
Practice address
195 PLEASANT ST UNIT 2, BRADFORD, PA 16701-1081
(716) 376-2251
(716) 376-2225
Mailing address
535 MAIN ST STE 1, OLEAN, NY 14760-1500
(716) 376-2203
(585) 625-0100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
06/05/2026
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