Organization
OLEAN MEDICAL GROUP PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE STRADE (CEO)
(716) 372-0141
Entity
Organization
Contact information
Practice address
535 MAIN ST, OLEAN, NY 14760-1513
(716) 372-0141
(716) 373-6632
Mailing address
535 MAIN ST, OLEAN, NY 14760-1513
(716) 372-0141
(716) 373-6632
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03012159
—
NY
Enumeration date
09/16/2005
Last updated
09/20/2021
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