Individual
DR. DANIEL R DICENSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
3 GATES CIR, MILLARD FILLMORE GATES CIRCLE HOSPITAL, BUFFALO, NY 14209-1120
(716) 887-4684
Mailing address
87 IVY LEA, BUFFALO, NY 14223-1418
(716) 876-4042
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
048759
NY
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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