Individual
BABAK KAKAVAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 HOPKINS RD, WILLIAMSVILLE, NY 14221-1752
(716) 568-0075
Mailing address
94 MONTBLEU DR, GETZVILLE, NY 14068-1329
(716) 481-9192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
069473
NY
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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