Niagara Medicine, PC

NPI #1467800227 in Lewiston, New York

Provider Information

NPI Number: 1467800227
Entity Type: Organization
Organization Name: Niagara Medicine, PC
Subpart: Yes (part of a larger organization)
Parent Organization: NIAGARA MEDICINE, PC
Primary Specialty: Surgery
Enumeration Date: Jun 1, 2016
Last Updated: Dec 27, 2016

Practice Location

Address: 5300 MILITARY RD
City: Lewiston
State: New York
ZIP Code: 14092-1903
Phone: (716) 651-0911

Authorized Official

Name: MR. GARY TUCKER
Title: AUTHORIZED OFFICIAL
Phone: (716) 601-3766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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