Individual
BETSY L STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6763 ERIE RD, DERBY, NY 14047-9670
(716) 947-2222
(716) 947-2223
Mailing address
6763 ERIE RD, DERBY, NY 14047-9670
(716) 947-2222
(716) 947-2223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02865832
—
NY
Enumeration date
10/23/2006
Last updated
09/24/2008
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