Individual
MAURICE VANSICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
Mailing address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 631-3555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F332856
NY
Other
Enumeration date
06/15/2006
Last updated
08/19/2019
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