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ALICIA W HERMOGENES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2475 HARLEM ROAD, CHEEKTOWAGA, NY 14225
(716) 894-5071
(716) 894-5072
Mailing address
PO BOX 173, WILLIAMSVILLE, NY 14221-0173
(716) 894-5071
(716) 894-5072

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
195934
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00010075804
UNIVERA
NY
01
000523567004
BLUE CROSS OF WNY
NY
05
01552001
NY
01
040426002383
FIDELIS
NY
01
3407412
INDEPENDENT HEALTH
NY
01
P00107601
RAILROAD MEDICARE
NY
Enumeration date
07/05/2006
Last updated
01/09/2014
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