Individual
LAURIE KASNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 ABBOTT RD, SUITE 304, BUFFALO, NY 14220-1700
(716) 995-8801
(716) 995-8810
Mailing address
515 ABBOTT RD, SUITE 304, BUFFALO, NY 14220-1700
(716) 995-8801
(716) 995-8810
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
141845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00020751503
UNIVERA
NY
01
—
000528274002
BLUE CROSS
NY
01
—
000528274003
BLUE CROSS WNY
NY
05
—
01052120
—
NY
01
—
1213020
INDEPENDENT HEALTH
NY
Enumeration date
07/06/2006
Last updated
11/15/2013
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