Organization
NIAGARA FALLS PHYSICIAN ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE VITELLO (RECEPTIONIST)
(716) 285-1133
Entity
Organization
Contact information
Practice address
620 10TH ST, SUITE 710, NIAGARA FALLS, NY 14301-1841
(716) 285-1133
(716) 285-1179
Mailing address
620 - 10TH STREET, SUITE 710, NIAGARA FALLS, NY 14301-1841
(716) 285-1133
(716) 285-1179
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
157035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00958970
—
NY
Enumeration date
12/18/2006
Last updated
11/03/2017
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