Organization
ELDER MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH HOERNER (PRACTICE ADMINISTRATOR)
(716) 204-9710
Entity
Organization
Contact information
Practice address
132 CAYUGA RD, SUITE 1-C, CHEEKTOWAGA, NY 14225-1942
(716) 204-9711
(716) 204-9717
Mailing address
132 CAYUGA RD, SUITE 1-C, CHEEKTOWAGA, NY 14225-1942
(716) 204-9711
(716) 204-9717
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01693925
—
NY
Enumeration date
09/21/2006
Last updated
03/13/2008
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