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Organization

PEDIATRIC PSYCHOLOGY & MEDICINE OF WESTERN NEW YORK, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TED ANDREWS PHD, MD (PHYSICIAN)
(716) 837-3415
Entity
Organization

Contact information

Practice address
2625 HARLEM RD, SUITE 205, CHEEKTOWAGA, NY 14225-4031
(716) 837-3415
Mailing address
112 BONDCROFT DR, AMHERST, NY 14226-3427
(716) 837-3415

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
012466
NY
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
282479
NY

Other

Enumeration date
08/15/2016
Last updated
08/15/2016
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