Individual
CARLTON REIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
(716) 893-0128
Mailing address
1500 BROADWAY ST, BUFFALO, NY 14212-1862
(716) 422-2002
(716) 893-0128
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-7745
NY
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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