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Individual

MR. ANTHONY MACK CARPENTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
920 HARLEM RD, BUFFALO, NY 14224-1008
(716) 332-3991
(716) 831-8666
Mailing address
41 OXFORD AVE, BUFFALO, NY 14209-1405
(716) 881-5430

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
901059
NY
164W00000X
Licensed Practical Nurse
292135
NY

Other

Enumeration date
07/19/2012
Last updated
12/10/2024
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