Organization
LEGACY GYNECOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN SMYERS MD (MD/OWNER)
(716) 815-2400
Entity
Organization
Contact information
Practice address
136 MAPLE RD, AMHERST, NY 14221-2922
(716) 815-2400
Mailing address
99 S ROCKINGHAM WAY, AMHERST, NY 14228-3723
(716) 815-2400
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03351159
—
NY
Enumeration date
09/11/2020
Last updated
09/11/2020
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