Organization
KIDSALLIANCE PEDIATRIC GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY VETRANO M.D. (PHYSICIAN)
(716) 828-2568
Entity
Organization
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2568
Mailing address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 834-1191
(716) 834-1382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02370230
—
NY
Enumeration date
03/15/2006
Last updated
02/24/2009
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