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Organization

AVP PRIMARY CARE ADULT HEALTH NURSE PRACTITIONER, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LIOUDMILA PLISS PH.D., MS, ANP-C (OWNER)
(716) 706-8984
Entity
Organization

Contact information

Practice address
6631 MAIN ST, WILLIAMSVILLE, NY 14221-5934
(716) 706-8984
Mailing address
94 CORIANDER CT, EAST AMHERST, NY 14051-1265
(716) 706-8984

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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