Organization
KEN-TON OPEN MRI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FORCIER (PRACTICE MANAGER)
(716) 855-2866
Entity
Organization
Contact information
Practice address
2882 ELMWOOD AVE, KENMORE, NY 14217-1325
(716) 876-7000
Mailing address
2882 ELMWOOD AVE, KENMORE, NY 14217-1325
(716) 876-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02868573
—
NY
Enumeration date
05/25/2006
Last updated
06/24/2008
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