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Organization

GREAT LAKES ALLERGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY MORTON (OFFICE MANAGER)
(716) 393-8394
Entity
Organization

Contact information

Practice address
500 CORPORATE PKWY STE 100, AMHERST, NY 14226-1263
(716) 631-0380
(716) 836-0773
Mailing address
500 CORPORATE PKWY STE 100, AMHERST, NY 14226-1263
(716) 631-0380
(716) 836-0773

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary

Other

Enumeration date
01/09/2024
Last updated
01/09/2024
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