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Individual

DR. KATHERINE A VERGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
899 MAIN ST, BUFFALO, NY 14203-1109
(716) 878-2700
(716) 878-2701
Mailing address
120 GARDENVILLE PKWY W, WEST SENECA, NY 14224-1324
(716) 656-4250
(716) 656-4074

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
196741
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01495330
NY
Enumeration date
05/05/2006
Last updated
07/24/2012
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