Individual
KAREN W WALCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
84 SWEENEY ST, N TONAWANDA, NY 14120-5822
(716) 634-8500
Mailing address
89 MIDDLESEX RD, BUFFALO, NY 14216-3617
(716) 359-3364
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
229139
MA
207W00000X
Ophthalmology Physician
Primary
247834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102026377
—
PA
Enumeration date
07/07/2006
Last updated
03/30/2020
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