Individual
TERESA R HENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-1689
(716) 878-1862
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-1689
(716) 878-1862
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
256956
NY
Other
Enumeration date
07/18/2008
Last updated
05/29/2013
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