Individual
MICHELLE T O DIERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 MAIN ST, BUFFALO, NY 14214-3077
(716) 829-3316
Mailing address
3435 MAIN ST, BUFFALO, NY 14214-3077
(716) 829-3316
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
F420793
NY
Other
Enumeration date
01/22/2007
Last updated
09/13/2007
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