Organization
MARY ANN BISHARA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA K SOBCHAK (SECRETARY)
(716) 297-2998
Entity
Organization
Contact information
Practice address
5290 MILITARY RD STE 6, LEWISTON, NY 14092-1953
(716) 297-2998
Mailing address
5290 MILITARY RD STE 6, LEWISTON, NY 14092-1953
(716) 297-2998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84509
NY
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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