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Organization

HOSPITALIST MEDICINE PHYSICIAN OF NEW YORK - BUFFALO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON LAGRONE (DIRECTOR PAYER ENROLLMENT)
(214) 422-5715
Entity
Organization

Contact information

Practice address
120 BRENTWOOD COMMONS WAY STE 510, BRENTWOOD, TN 37027-2028
(214) 422-5715
Mailing address
5410 MARYLAND WAY STE 300, BRENTWOOD, TN 37027-5339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
11/25/2019
Last updated
06/27/2024
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