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Organization

GREATER BUFFALO UNITED ACCOUNTABLE CARE ORGANIZATION,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAUL VAZQUEZ M.D. (CEO)
(716) 830-4840
Entity
Organization

Contact information

Practice address
564 NIAGARA ST, REAR, BUFFALO, NY 14201-1108
(716) 247-5282
(716) 884-8096
Mailing address
229 W GENESEE ST, PO BOX 877, BUFFALO, NY 14201-7099

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185052
NY

Other

Enumeration date
05/11/2017
Last updated
05/11/2017
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