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NPI Code Detail

MEDICARE: TESSA F FLORES M.D.

MEDICARE:   TESSA F FLORES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician229463NY
2208000000XPediatrics Physician229463NY

General Provider Information

NPI Number : 1134185952
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSA F FLORES M.D.
Provider Business Mailing Address
First Line : 268 MAIN ST
Second Line :
City : EAST AURORA
State : NY
Zip : 14052-1637
Country : US
Telephone Number : 716-652-8606
Fax Number : 716-652-4448
Provider Business Practice Location Address
First Line : 268 MAIN ST
Second Line :
City : EAST AURORA
State : NY
Zip : 14052-1637
Country : US
Telephone Number : 716-652-8606
Fax Number : 716-652-4448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2006
Last Update Date : 01/07/2010

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Directions to “ TESSA F FLORES M.D.” Practice Location

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