Individual
MRS. BETSY ROSE MIKAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3671 SOUTHWESTERN BLVD STE 101, ORCHARD PARK, NY 14127-1749
(716) 662-7008
(716) 662-5226
Mailing address
3671 SOUTHWESTERN BLVD STE 101, ORCHARD PARK, NY 14127-1749
(716) 662-7008
(716) 662-5226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F345383-01
NY
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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