Individual
MR. SAMUEL LEONARD MOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4635 UNION RD, CHEEKTOWAGA, NY 14225-1851
(716) 633-7574
Mailing address
44 ALBERT DR, LANCASTER, NY 14086-2802
(716) 535-0329
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
49754101
NY
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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