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Individual

JAMES A MCDONEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 881-7900
(716) 887-2990
Mailing address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 881-7900
(716) 887-2990

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
4214T78
OH
152W00000X
Optometrist
Primary
TUV007141-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006965
ANTHEM
05
02911700
NY
05
0901224
OH
01
2220272
UNITED HEALTH CARE
Enumeration date
02/09/2007
Last updated
03/07/2012
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