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Individual

JOHN EDWARD LEGARRETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 N FOREST RD, SUITE 7, WILLIAMSVILLE, NY 14221-3277
(716) 633-2203
Mailing address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 888-4836
(716) 887-2991

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
276395
NY
207W00000X
Ophthalmology Physician
ME118846
FL

Other

Enumeration date
04/28/2010
Last updated
10/23/2015
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