Individual
EMILY IRENE VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
Mailing address
91 N LONG ST, WILLIAMSVILLE, NY 14221-5300
(716) 957-4129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F342857-1
NY
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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