Kenwood Pediatrics

NPI #1063611192 in Buffalo, New York

Provider Information

NPI Number: 1063611192
Entity Type: Organization
Organization Name: Kenwood Pediatrics
Primary Specialty: Specialist
Enumeration Date: Jul 18, 2007
Last Updated: Apr 20, 2020

Practice Location

Address: 2121 MAIN ST, STE 119
City: Buffalo
State: New York
ZIP Code: 14214
Phone: (716) 838-6655

Authorized Official

Name: MRS. GRACE DIMITROFF, M.D.
Title: PHYSICIAN
Phone: (716) 838-6655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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