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Individual

DR. BRENDAN RALEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
77 GOODELL ST, SUITES 220 AND 240, BUFFALO, NY 14203
(716) 816-7228
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287526
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04879503
NY
Enumeration date
06/17/2014
Last updated
03/31/2020
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