Individual
ELIZABETH ANN SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 HENNEPIN ST, BUFFALO, NY 14206-1347
(716) 816-9102
Mailing address
98 HENNEPIN ST, BUFFALO, NY 14206-1347
(716) 816-9102
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
J8R3N9K7
NY
Other
Enumeration date
03/18/2022
Last updated
01/23/2024
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