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Individual

NOEL B RIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 630-1000
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5768866
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027799901
UNIVERA
NY
01
000528923001
HEALTH NOW
NY
05
02820817
NY
01
9514042
INDEPENDENT HEALTH
NY
Enumeration date
11/11/2006
Last updated
12/08/2021
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