Individual
ANNALIESE NOACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
325 ESSJAY RD, WILLIAMSVILLE, NY 14221-8243
(716) 677-6060
(716) 677-6078
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(718) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
262019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03487625
—
NY
Enumeration date
07/02/2009
Last updated
05/04/2022
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