Susan Baldassari MD

NPI #1134516735 in Kenmore, New York

Provider Information

NPI Number: 1134516735
Entity Type: Organization
Organization Name: Susan Baldassari MD
Primary Specialty: Internal Medicine
Enumeration Date: Apr 21, 2015
Last Updated: Apr 21, 2015

Practice Location

Address: 3673 DELAWARE AVE
City: Kenmore
State: New York
ZIP Code: 14217-1113
Phone: (716) 871-0003

Authorized Official

Name: SUSAN BALDASSARI, MD
Title: MD/SOLE PROPRIETOR
Phone: (716) 871-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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