Individual
THOMAS PEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9500
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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