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Organization

ARTESIA PLASTIC SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE ROK (OFFICE MANAGER)
(716) 650-4622
Entity
Organization

Contact information

Practice address
6044 MAIN ST STE 106, WILLIAMSVILLE, NY 14221-6883
(716) 650-4622
Mailing address
6044 MAIN ST STE 106, WILLIAMSVILLE, NY 14221-6883
(716) 650-4622

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
183430
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124014824
HMO
Enumeration date
12/04/2017
Last updated
01/15/2026
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