Individual
LAILA AL MASAOUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
665 ELM ST, BUFFALO, NY 14203-1104
(716) 845-2300
Mailing address
846 MAIN ST APT 1B, BUFFALO, NY 14202-1442
(716) 602-4646
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
295287
NY
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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