Organization
UPSTATE DERMATOPATHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIAQAT ALI MD (MEDICAL DIRECTOR/OWNER)
(716) 574-6513
Entity
Organization
Contact information
Practice address
6400 SHERIDAN DR STE 224, WILLIAMSVILLE, NY 14221-4842
(716) 334-0357
Mailing address
6400 SHERIDAN DR STE 224, WILLIAMSVILLE, NY 14221-4842
(716) 334-0357
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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