Individual
EMI A KODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3675 SOUTHWESTERN BOULEVARD, ORCHARD PARK, NY 14127
(716) 972-0279
(360) 493-5524
Mailing address
3675 SOUTHWESTERN BOULEVARD, ORCHARD PARK, NY 14127
(716) 972-0279
(716) 972-0273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
290892
NY
Other
Enumeration date
08/16/2011
Last updated
02/21/2019
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