Individual
MS. LAUREN SAMANTHA WIATROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 HARLEM RD # 4558, BUFFALO, NY 14225-4558
(716) 322-5428
Mailing address
2475 HARLEM RD, BUFFALO, NY 14225-4558
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025135
NY
Other
Enumeration date
10/26/2018
Last updated
11/09/2020
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