Individual
HENRY D STORCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 375-7500
(716) 701-6853
Mailing address
135 N UNION ST, STCHCN/UPC, OLEAN, NY 14760-2736
(716) 701-6881
(716) 701-6854
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
166132
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
166132
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00959004
—
NY
Enumeration date
07/19/2005
Last updated
01/31/2014
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