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Individual

DR. FREDRIC M HIRSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221-8053
(716) 636-7979
(716) 636-7993
Mailing address
1150 YOUNGS RD, SUITE 104, WILLIAMSVILLE, NY 14221-8053
(716) 636-7979
(716) 636-7993

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
120357
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00637398
NY
Enumeration date
04/21/2006
Last updated
02/18/2013
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