Organization
MASON NURSE PRACTITIONER IN FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA V MASON NP (OWNER)
(716) 216-4424
Entity
Organization
Contact information
Practice address
2131 SAWYER DR, SUITE 6, NIAGARA FALLS, NY 14304-2979
(716) 216-4424
Mailing address
2131 SAWYER DR STE 6, NIAGARA FALLS, NY 14304-2979
(716) 216-4424
(716) 216-4426
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
333243
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01365920
—
NY
Enumeration date
06/16/2009
Last updated
12/22/2022
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