Organization
BRUMMITTE DALE WILSON MD & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUMMITTE DALE WILSON (MD)
(716) 648-2770
Entity
Organization
Contact information
Practice address
17 LONG AVE STE 200, HAMBURG, NY 14075-6200
(716) 648-2770
(716) 646-4642
Mailing address
17 LONG AVE STE 200, HAMBURG, NY 14075-6200
(716) 648-2770
(716) 646-4642
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
134469
NY
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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