Individual
PAMELA BAUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 BROADWAY ST, BUFFALO, NY 14212-1501
(716) 364-2765
Mailing address
4112 S MAIN ST, BATAVIA, NY 14020-9549
(716) 515-8008
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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