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Individual

BRIAN STENDTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
Mailing address
50 ALCONA AVE, AMHERST, NY 14226-2201
(716) 834-1193

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003115
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00027047803
UNIVERA
NY
01
000570309002
BLUE CROSS
NY
05
02272984
NY
01
040426003296
FIDELISCARE
NY
01
189062AZ
PREFERRED CARE
NY
01
P00071544
RAILROAD MEDICARE
NY
Enumeration date
08/19/2006
Last updated
03/11/2009
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