Organization
ATHENA GYNCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA DUBOIS (EXECUTIVE DIRECTOR)
(716) 835-2510
Entity
Organization
Contact information
Practice address
2500 MAIN ST, BUFFALO, NY 14214-2008
(716) 835-2510
(716) 835-2654
Mailing address
2500 MAIN ST, BUFFALO, NY 14214-2008
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
173097
NY
Other
Enumeration date
03/13/2007
Last updated
08/22/2020
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