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Individual

DR. BRIAN BLOCK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5300 MILITARY RD, XRAY DEPT, LEWISTON, NY 14092-1903
(716) 298-2356
Mailing address
167 BRANDYWINE DR, WILLIAMSVILLE, NY 14221-1876
(716) 688-5725

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
114629
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00602906
NY
Enumeration date
07/07/2005
Last updated
07/08/2007
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