Individual
MOSES MANDRELL DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NYCPS
Contact information
Practice address
1131 BROADWAY ST, BUFFALO, NY 14212-1501
(716) 895-6700
Mailing address
1526 WALDEN AVE, CHEEKTOWAGA, NY 14225-4965
(716) 380-9702
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4421
NY
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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