Forest Medical Group, Pllc
NPI #1215975289 in Williamsville, New York
Provider Information
- NPI Number
- 1215975289
- Entity Type
- Organization
- Organization Name
- Forest Medical Group, Pllc
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Nov 5, 2007
Practice Location
- Address
- 1360 N FOREST RD
- Address 2
- SUITE 3
- City
- Williamsville
- State
- New York
- ZIP Code
- 14221-1200
- Phone
- (716) 689-4800
Authorized Official
- Name
- RICHARD F DIVENCENZO, M.D.
- Title
- PHYSICIAN , OWNER
- Phone
- (716) 689-4800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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