Organization
DIANE M DEN HAESE MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE M DEN HAESE M.D. (PRESIDENT)
(716) 989-1033
Entity
Organization
Contact information
Practice address
1540 MAPLE RD, BUFFALO, NY 14221-3647
(716) 568-3600
Mailing address
6415 LANDSTONE DR, CLARENCE CENTER, NY 14032-9403
(716) 989-1033
(716) 631-9525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
244252
NY
Other
Enumeration date
08/23/2007
Last updated
11/13/2007
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