Individual
HILLARY VANDEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(315) 408-2072
Mailing address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
294157-01
NY
Other
Enumeration date
04/26/2014
Last updated
04/16/2020
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