Organization
PRISM HEALTH & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLARD BS (SITE DIRECTOR)
(716) 204-1477
Entity
Organization
Contact information
Practice address
6460 MAIN ST, WILLIAMSVILLE, NY 14221-5838
(716) 204-1477
(716) 204-1474
Mailing address
6460 MAIN ST, WILLIAMSVILLE, NY 14221-5838
(716) 204-1477
(716) 204-1474
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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