Pediatric Healthcare

NPI #1679795025 in Salamanca, New York

Provider Information

NPI Number
1679795025
Entity Type
Organization
Organization Name
Pediatric Healthcare
Primary Specialty
Pediatrics
Enumeration Date
May 3, 2007
Last Updated
Jul 24, 2008

Practice Location

Address
4039 RTE 219 SUITE 103
ZIP Code
14779-9625
Phone
(716) 945-0368

Authorized Official

Name
SRINIVAS P THANDLA, M.D.
Title
SOLE PROPRIETOR
Phone
(716) 945-0368

Specialties & Taxonomy Codes

Specialty
Pediatrics

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