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NPI Code Detail

MEDICARE: SARA J PONKOW FALVO MD

MEDICARE: SARA J PONKOW FALVO MD
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
1207P00000XEmergency Medicine Physician247881NY

General Provider Information

NPI Number : 1467611327
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA J PONKOW FALVO MD
Provider Business Mailing Address
First Line : 908 NIAGARA FALLS BLVD
Second Line : SUITE 208
City : N TONAWANDA
State : NY
Zip : 14120-2019
Country : US
Telephone Number : 719-692-3302
Fax Number : 716-362-9518
Provider Business Practice Location Address
First Line : 7616 TRANSIT RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-6017
Country : US
Telephone Number : 716-204-2273
Fax Number : 716-817-9905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2008
Last Update Date : 06/05/2008

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