Individual
ANTHONY PAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-8000
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-8000
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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