Organization
CEDAR PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FRETZ MD (OWNER)
(716) 570-0524
Entity
Organization
Contact information
Practice address
1010 MAIN ST, BUFFALO, NY 14202-1102
(716) 570-0524
Mailing address
120 BERRYMAN DR, AMHERST, NY 14226-4374
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
200115-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01650600
—
NY
Enumeration date
12/15/2017
Last updated
12/15/2017
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