Organization
CHAUTAUQUA MEDICAL PRACTICE, P.C.
Active
Other names
Chautauqua Medical Practice, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL S HOLLEY (MD)
(716) 386-2414
Entity
Organization
Contact information
Practice address
4936 MAIN ST, BEMUS POINT, NY 14712
(716) 386-2414
(716) 386-2437
Mailing address
PO BOX 470, 4936 MAIN ST, BEMUS POINT, NY 14712
(716) 386-2414
(716) 386-2437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
204064
NY
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669929
—
NY
Enumeration date
10/23/2006
Last updated
09/30/2020
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