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Organization

GREATER BUFFALO UNITED ASSOCIATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAUL VAZQUEZ MD (CEO)
(716) 830-4840
Entity
Organization

Contact information

Practice address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 247-5282
(716) 884-8096
Mailing address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 247-5282
(716) 884-8096

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
261QP2300X
Primary Care Clinic/Center
347C00000X
Private Vehicle
Primary

Other

Enumeration date
10/12/2017
Last updated
10/12/2017
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