Organization
STATE OF NEW YORK COMPTROLLERS OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MICHEL HARRIS M.B.A (ASSISTANT DEAN)
(716) 829-2336
Entity
Organization
Contact information
Practice address
108A SQUIRE HALL, BUFFALO, NY 14214-3008
(716) 829-2836
Mailing address
325 SQUIRE HALL, BUFFALO, NY 14214-8006
(716) 829-2836
(716) 833-3517
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1401226R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01712734
—
NY
Enumeration date
12/06/2006
Last updated
01/11/2018
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