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General NPI Number Information
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NPI Number | 1164594099
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Entity Type | Organization
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Legal Business Name | URBAN FAMILY PRACTICE PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 564 NIAGARA STREET
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City | BUFFALO
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State | NY
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Zip | 14201
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Country | US
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Telephone | 716-882-0366
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Fax | 716-884-8096
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Provider Business Mailing Address
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Address Line | 564 NIAGARA ST BLDG 2
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City | BUFFALO
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State | NY
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Zip | 14201-1108
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Country | US
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Telephone | 716-882-0366
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Fax | 716-306-4177
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RODNEY C ARMSTEAD
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Credential | MD
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Telephone | 310-418-7250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) Physician
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License Number | 1850521NYS
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F332631
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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