Organization
DIANE M. SANFILIPPO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL A GRUPPO (ADMINISTRATOR)
(716) 675-5222
Entity
Organization
Contact information
Practice address
3050 ORCHARD PARK ROAD, WEST SENECA, NY 14224
(716) 675-5222
(716) 675-9329
Mailing address
3050 ORCHARD PARK ROAD, WEST SENECA, NY 14224
(716) 675-5222
(716) 675-9329
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1951971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01744921
—
NY
Enumeration date
03/19/2007
Last updated
07/25/2007
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