Individual
MRS. ANDREA MARIE TALLIDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-6014
Mailing address
317 GETZVILLE RD, AMHERST, NY 14226-2514
(716) 839-0631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
010021
NY
Other
Enumeration date
04/17/2006
Last updated
07/08/2007
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