Individual
DR. DIANA ABU MAHFOUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3000
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
319814
NY
Other
Enumeration date
05/02/2019
Last updated
03/01/2023
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