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Organization

OAK ORCHARD COMMUNITY HEALTH CENTER

Active
Parent organization
OAK ORCHARD COMMUNITY HEALTH CENTER
Other names
Oak Orchard OBGYN
Organization subpart
Yes

Provider details

NPI number
Legal business name
OAK ORCHARD COMMUNITY HEALTH CENTER
Authorized official
DAVID W FISHER (CEO)
(585) 637-3905
Entity
Organization

Contact information

Practice address
156 WEST AVE, BROCKPORT, NY 14420-1229
(585) 637-3905
(585) 637-4990
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01543613
MARY DAHL-MAHER
NY
01
01685625
CATHERINE BURKE
NY
01
02997515
POLYXENI DIMOPOULOS
NY
Enumeration date
12/04/2008
Last updated
12/04/2008
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