Organization
EASTERN NIAGARA HOSPITAL INC
Active
Other names
Hospitalist Group of Eastern Niagara
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ICKOWSKI (CFO)
(716) 514-5700
Entity
Organization
Contact information
Practice address
521 EAST AVE, LOCKPORT, NY 14094-3201
(716) 514-5700
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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