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Individual

MS. YOUNG H TATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
32 WARDMAN RD, KENMORE, NY 14217-2728
(716) 570-1175
(716) 882-6430
Mailing address
32 WARDMAN RD, KENMORE, NY 14217-2728
(716) 570-1175
(716) 882-6430

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
009660
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009660
LICENSE
NY
Enumeration date
11/01/2007
Last updated
03/07/2023
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