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NPI Code Detail

MEDICARE: SOUTHTOWNS MEDICINE AND PEDIATRICS

MEDICARE: SOUTHTOWNS MEDICINE AND PEDIATRICS
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
1208000000XPediatrics Physician219856NY
2207R00000XInternal Medicine Physician219856NY

General Provider Information

NPI Number : 1750531620
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHTOWNS MEDICINE AND PEDIATRICS
Provider Business Mailing Address
First Line : 268 MAIN ST
Second Line :
City : EAST AURORA
State : NY
Zip : 14052-1655
Country : US
Telephone Number : 716-652-8606
Fax Number : 716-805-1225
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 :
Authorized Official
Title or Position : ADMINISTRATOR
Name : JILL JONES
Credential :
Telephone Number : 716-652-8606
Provider Enumeration Date : 09/26/2008
Last Update Date : 01/16/2013

Similar Medicare Providers

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Practice Location Address:
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1235180621 — LAURIE T ALEXANDER C.N.P.
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1447360763 — B & J MEDICAL ASSOCIATES, PLLC.
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1598875817 — GEORGE T. DANAKAS, M.D., P.C.
Practice Location Address:
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Directions to “SOUTHTOWNS MEDICINE AND PEDIATRICS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.