Organization
PEARLS OF WISDOMOTB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA ANN FELDER RN (VICE PRESIDENT)
(716) 573-4290
Entity
Organization
Contact information
Practice address
76 ORANGE ST, BUFFALO, NY 14204-1219
(716) 856-0360
Mailing address
76 ORANGE ST, BUFFALO, NY 14204-1219
(716) 856-0360
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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