Individual
ALLAN DEPEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
S-3673 SOUTHWESTERN BLVD., ORCHARD PARK, NY 14127
(716) 662-8096
Mailing address
S-3673 SOUTHWESTERN BLVD., ORCHARD PARK, NY 14127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
106689
NY
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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