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Individual

MARIA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 826-7000
Mailing address
34 ASHLEAF DR, CHEEKTOWAGA, NY 14227-2243

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
341957
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03757444
NY
Enumeration date
06/30/2017
Last updated
11/26/2019
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