Organization
BAC FOR WOMEN COLVIN EGGERT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE E EMERLING (JR PARTNER)
(716) 348-3755
Entity
Organization
Contact information
Practice address
3157 EGGERT RD, TONAWANDA, NY 14150-7156
(716) 348-3755
(716) 348-3754
Mailing address
3157 EGGERT RD, TONAWANDA, NY 14150-7156
(716) 348-3755
(716) 348-3754
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2225290120
BLUE CROSS BLUE SHEILD OF WNY
NY
Enumeration date
09/28/2009
Last updated
09/28/2009
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