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Individual

MRS. VIRGINIA J ZGODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8995 MAIN ST, CLARENCE, NY 14031-1927
(716) 634-8989
Mailing address
6411 BRIDLEWOOD DR S, EAST AMHERST, NY 14051-2036
(716) 741-7743

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008897
NY

Other

Enumeration date
05/15/2006
Last updated
10/03/2007
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